Individual
MIYA HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BANNOCK ST # MC0108, DENVER, CO 80204-4507
(303) 602-5193
Mailing address
777 BANNOCK ST # MC0108, DENVER, CO 80204-4507
(303) 602-5193
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CO
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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