Individual
CHARMAINE M HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2930 W IMPERIAL HWY, INGLEWOOD, CA 90303-3143
(714) 243-8193
(866) 936-1388
Mailing address
2930 W. IMPERIAL, INGLEWOOD, CA 90303
(714) 243-8193
(866) 936-1388
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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