Organization
JENNIE G HOLOHAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE G HOLOHAN (OWNER)
(707) 704-2568
Entity
Organization
Contact information
Practice address
55 SPRINGSTOWNE CTR # 305, VALLEJO, CA 94591-5566
(707) 704-2568
Mailing address
55 SPRINGSTOWNE CTR # 305, VALLEJO, CA 94591-5566
(707) 704-2568
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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