Individual
MRS. HOLLY DIAHN PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
440 W FOOTHILL BLVD, GLENDORA, CA 91741-3361
(626) 963-9402
(626) 914-5316
Mailing address
440 W FOOTHILL BLVD, GLENDORA, CA 91741-3361
(626) 963-9402
(626) 914-5316
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15115
CA
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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