Individual
MRS. CAROLYN JEAN HOLLADAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
922 BEVINS CT, LAKEPORT, CA 95453-9754
(707) 263-1090
Mailing address
922 BEVINS CT, LAKEPORT, CA 95453-9754
(707) 263-1090
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
813392
CA
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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