Individual
MERCEDES LUCILLE HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OB/GYN NP
Contact information
Practice address
2076 WENTE WAY, SAN JOSE, CA 95125
(408) 834-2174
Mailing address
PO BOX 4756, SAN JOSE, CA 95150-4756
(408) 834-2171
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
288655
CA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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