Individual
MARK S HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 E STREET STE D1, HICKAM, HI 96853-5418
(808) 448-3405
Mailing address
3505 COMMAND DR, GLENDALE, AZ 85307-2235
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11438
CO
Other
Enumeration date
01/26/2006
Last updated
06/07/2011
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