Individual
JERRY HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2125 ATCHENA NENE, TALLAHASSEE, FL 32301
(850) 727-0772
Mailing address
2125 ATCHENA NENE, TALLAHASSEE, FL 32301
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1998
FL
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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