Individual
REBECCA HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7125 W ENCANTO BLVD, PHOENIX, AZ 85035-1335
(623) 961-5615
(623) 691-5620
Mailing address
7125 W ENCANTO BLVD, PHOENIX, AZ 85035-1335
(623) 961-5615
(623) 691-5620
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP051647
AZ
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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