Individual
KRYSTINA MICHELLE HOLLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3160 E QUEEN CREEK RD, SUITE 104, GILBERT, AZ 85297-8402
(480) 889-1157
(480) 889-1160
Mailing address
1250 S CLEARVIEW AVE, SUITE 100, MESA, AZ 85209-3378
(480) 988-9108
(480) 813-4460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3459
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125538
—
AZ
Enumeration date
07/15/2006
Last updated
01/15/2015
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