Individual
MS. KATELYN TAMARA HOLMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 S CUSHMAN ST, FAIRBANKS, AK 99701-6203
(907) 452-8251
(907) 459-3842
Mailing address
1521 S CUSHMAN ST, FAIRBANKS, AK 99701-6203
(907) 452-8251
(907) 459-3842
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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