Individual
HOLLY REBECCA WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 FALMOUTH RD STE 101, HYANNIS, MA 02601-2324
(774) 552-3209
Mailing address
1030 FALMOUTH RD STE 101, HYANNIS, MA 02601-2324
(774) 552-3209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1017378
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
07/31/2024
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