Individual
HALEY HOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 S 4TH ST, CHAMPAIGN, IL 61820-6941
(217) 300-7912
Mailing address
311 BIRCH ST APT 7, CHAMPAIGN, IL 61820-6560
(630) 437-0468
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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