Individual
NATHANIEL CLAY HOLLANDSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
517 HARRISON DR, HURLBURT FIELD, FL 32544-1100
(850) 686-7411
Mailing address
517 HARRISON DR, HURLBURT FIELD, FL 32544-1100
(850) 686-7411
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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