Individual
JOHN D HOLLINGSEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
310 S HALCYON RD, STE. 104, ARROYO GRANDE, CA 93420-3872
(805) 481-9666
(805) 466-9504
Mailing address
8260 MORRO RD, ATASCADERO, CA 93422-3954
(805) 466-1296
(805) 466-9504
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XB0017490
—
CA
Enumeration date
11/19/2007
Last updated
11/19/2007
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