Individual
CHRISTINE HOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16620 N 40TH ST STE D5, PHOENIX, AZ 85032-3350
(602) 770-4290
Mailing address
16620 N 40TH ST STE D5, PHOENIX, AZ 85032-3350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN077343
AZ
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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