Individual
CASEY WILLIAM HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3110 KERNER BLVD, SAN RAFAEL, CA 94901-5411
(617) 779-4984
Mailing address
3110 KERNER BLVD, SAN RAFAEL, CA 94901-5411
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95012086
CA
Other
Enumeration date
04/10/2019
Last updated
07/03/2019
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