Individual
LADEJA ROCHELLE HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4421 N OAK TRFY, KANSAS CITY, MO 64116
(913) 944-1989
Mailing address
4421 N OAK TRFY, KANSAS CITY, MO 64116
(913) 944-1989
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2019031375
MO
2255A2300X
Athletic Trainer
24-01450
KS
Other
Enumeration date
02/08/2019
Last updated
06/27/2022
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