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Organization

HOLISTIC VIRTUAL SERVICES

Active
Other names
Holistic Virtual Services LLC
Organization subpart
No

Provider details

NPI number
Authorized official
CHANDAN SHARMA (MANAGER)
(971) 999-2182
Entity
Organization

Contact information

Practice address
3439 SE HAWTHORNE BLVD # 906, PORTLAND, OR 97214-5048
(971) 999-2182
Mailing address
539 W COMMERCE ST # 901, DALLAS, TX 75208-1953
(971) 999-2182

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
163WN1003X
Nutrition Support Registered Nurse

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41644432
DL
TX
Enumeration date
11/05/2019
Last updated
11/05/2019
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