Individual
E CARLISLE HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
496 S MAIN ST, SEBASTOPOL, CA 95472-4211
(707) 824-8764
(707) 824-8766
Mailing address
496 S MAIN ST, SEBASTOPOL, CA 95472-4211
(707) 824-8764
(707) 824-8766
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A6298
CA
Other
Enumeration date
06/27/2006
Last updated
05/17/2011
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