Individual
HOLLY C WILLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
43781 LA CARMELA DR, PALM DESERT, CA 92211-3106
(760) 636-8871
Mailing address
43781 LA CARMELA DR, PALM DESERT, CA 92211-3106
(760) 636-8871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
705746
CA
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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