Individual
DYLAN STEVEN HOLIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
1523 CRESCENT LN APT J, MATTHEWS, NC 28105-2340
(803) 606-8647
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128629
NC
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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