Individual
ASHLEY ELAINE HOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1900 WOODLAND DR, MANITOWOC, WI 54220-9662
(920) 323-6890
Mailing address
1801 SPRUCE DR, MANITOWOC, WI 54220-1427
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2544-29
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2544-29
CERTIFIED DIETITIAN
WI
Enumeration date
01/22/2013
Last updated
08/05/2013
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