Individual
HOLLY J BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W. D.L. INGRAM AVENUE, BLDG. 1408, CANNON AFB, NM 88103
(575) 784-2778
Mailing address
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W. D.L. INGRAM AVENUE, BLDG. 1408, CANNON AFB, NM 88103
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1108222
TX
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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