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Individual

DOUGLAS D HOLCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
418 E LAKESIDE AVE STE 6 - 1, COEUR D ALENE, ID 83814-2805
(360) 536-5432
Mailing address
5927 N PINEGROVE DR, COEUR D ALENE, ID 83815-8986
(360) 536-5432

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
49111
ID

Other

Enumeration date
04/19/2023
Last updated
02/18/2025
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