Individual
GEROGE TAYLOR HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
91-1027 SHANGRILA ST BLDG 1867, KAPOLEI, HI 96707-2101
(808) 674-9595
Mailing address
422A MALUNIU AVE, KAILUA, HI 96734-2380
(609) 675-4632
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
247
HI
Other
Enumeration date
12/16/2017
Last updated
06/11/2019
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