Individual
CHRISTY HOLMSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRA
Contact information
Practice address
1457 W SOUTHERN AVE, SUITE 26, MESA, AZ 85202-4813
(480) 374-7354
(480) 371-1121
Mailing address
PO BOX 64568, PHOENIX, AZ 85082-4568
(318) 424-4008
(855) 230-1466
Taxonomy
Speciality
Code
Description
License number
State
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
Primary
368780
AZ
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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