Individual
CARRIE HOLCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4011
Mailing address
6383 PODUNK RD, TRUMANSBURG, NY 14886-9746
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
755447-1
NY
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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