Individual
MARY ALICE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2030 SUTTER PL STE 2200, DAVIS, CA 95616-6214
(530) 747-5015
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17254
CA
Other
Enumeration date
02/07/2013
Last updated
07/27/2015
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