Individual
JILL HOLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 BELMONT AVE, LA JUNTA, CO 81050-2101
(719) 383-5900
(719) 383-6533
Mailing address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 589-5161
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0992164-NP
CO
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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