Individual
HOLLY BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11458 KINGS HWY, KING GEORGE, VA 22485-4200
(866) 389-2727
Mailing address
11458 KINGS HWY, KING GEORGE, VA 22485-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179586
VA
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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