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Individual

CHARLES HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2000 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1269
(650) 573-3689
Mailing address
1854 BAY RD, EAST PALO ALTO, CA 94303-1311
(650) 921-8717

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
R0611362
CA

Other

Enumeration date
12/16/2022
Last updated
12/16/2022
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