Individual
CALEB AMMON HOLMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16940 STATE HIGHWAY 14 STE F, MOJAVE, CA 93501-1238
(626) 365-7100
Mailing address
16940 STATE HIGHWAY 14 STE F, MOJAVE, CA 93501-1238
(661) 824-5020
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/18/2019
Last updated
11/26/2019
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