Individual
AMANDA HOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W 7TH ST, FREDERICK, MD 21701-4506
(301) 662-2480
Mailing address
PO BOX 17167, BALTIMORE, MD 21297-0212
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R185997
MD
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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