Individual
M'CHAE HOLLOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCMA, CPT
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 834-4144
Mailing address
1045 SANDGROUSE LN, PERRIS, CA 92571-7707
(714) 723-9203
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
H8N7F6J6
CA
202K00000X
Phlebology Physician
W9D2A7M8
CA
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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