Individual
MARIAN LOUISE HOLEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
90 EAGLE CT, WILKES BARRE, PA 18706-3025
(570) 240-0473
Mailing address
90 EAGLE CT, WILKES BARRE, PA 18706-3025
(570) 240-0473
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003192
PA
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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