Individual
ROCHELLE NICOLE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
26188 PERCHERON CIR, MORENO VALLEY, CA 92555-3360
(909) 735-1503
Mailing address
26188 PERCHERON CIR, MORENO VALLEY, CA 92555-3360
(909) 735-1503
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
33749
CA
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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