Individual
RAINA HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 526-1436
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4381
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01169
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001807900
BLUE CROSS BLUE SHIELD
WV
01
—
3001661
WORKERS COMPENSATION
WV
Enumeration date
05/19/2006
Last updated
05/21/2024
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