Individual
BONNIE HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, ET/P
Contact information
Practice address
1406 CLAREMONT AVE, RICHMOND, VA 23227-4030
(510) 967-1642
Mailing address
1406 CLAREMONT AVE, RICHMOND, VA 23227-4030
(510) 967-1642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PGP-0687178
VA
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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