Individual
HOLLIE A. KOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3750 ROHNERVILLE ROAD, FORTUNA, CA 95540
(707) 725-4477
(707) 725-2978
Mailing address
1275 8TH ST, ARCATA, CA 95521-5770
(707) 826-8633
(707) 826-8638
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95124213
CA
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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