Individual
ROSE HOLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 627-7000
Mailing address
12145 HUMMINGBIRD LN, AUBURN, CA 95602-9137
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
267108
CA
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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