Individual
CHARINA L HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
257 W POMONA BLVD, MONTEREY PARK, CA 91754-7120
(323) 728-3101
(323) 728-7284
Mailing address
257 W POMONA BLVD, MONTEREY PARK, CA 91754-7120
(323) 728-3101
(323) 728-7284
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC19151
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC01091510
BLUE CROSS
CA
Enumeration date
08/01/2005
Last updated
08/19/2020
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