Individual
JEAN A HOLDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO PC
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0S009111L
PA
207R00000X
Internal Medicine Physician
Primary
34006738
OH
Other
Enumeration date
08/11/2006
Last updated
09/23/2011
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