Individual
MS. DANIELLE ELIZABETH HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6700
Mailing address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6700
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW0010497
OR
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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