Individual
LARRY BERNARD HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PROBATION OFFICER 2
Contact information
Practice address
12310 LOWER AZUSA RD, ARCADIA, CA 91006-5872
(626) 579-8593
(626) 433-1029
Mailing address
12310 LOWER AZUSA RD, ARCADIA, CA 91006-5872
(626) 579-8506
(626) 433-1029
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
PROBATION
CA
01
—
876543100
PROBATION
CA
Enumeration date
06/23/2011
Last updated
06/23/2011
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