Individual
MRS. AMIE ELIZABETH HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
275 W. HERNDON AVE, CLOVIS, CA 93612
(559) 324-3833
(559) 324-3834
Mailing address
P.O. BOX 28946, FRESNO, CA 93729
(559) 228-4425
(559) 228-4424
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A129969
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25-1754199
VANTAGE
PA
05
—
47-0675561-13
—
NE
Enumeration date
08/06/2010
Last updated
08/14/2018
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