Individual
TERRIN LEE HOLLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
26341 EKLUTNA VILLAGE RD, CHUGIAK, AK 99567-5148
(907) 688-6031
(907) 688-6032
Mailing address
4501 DIPLOMACY DR, ATTN: FINANCE/PROVIDER ENROLLMENT, ANCHORAGE, AK 99508-5919
(907) 729-4599
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PADA1168
AK
Other
Enumeration date
12/09/2013
Last updated
03/02/2021
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