Individual
MS. HOLLI M SCOTT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
US HWY 491 N, SHIPROCK, NM 87420
(505) 368-6020
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6020
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
494
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48856053
—
NM
Enumeration date
11/02/2005
Last updated
07/08/2007
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