Individual
VICTORIA ANNE HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 CHURCH ST, RONKONKOMA, NY 11779-3301
(631) 363-5794
Mailing address
12 CAROLINE DR, WADING RIVER, NY 11792-9543
(631) 599-0818
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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