Individual
ANGEL HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3054 FIFTH AVE, KETCHIKAN, AK 99901-5773
(907) 228-6558
Mailing address
3054 FIFTH AVE, KETCHIKAN, AK 99901-5773
(907) 228-6558
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
14350
AK
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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