Individual
CHRISTINE CORADO HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
10039 VINE ST, LAKESIDE, CA 92040-3120
(833) 867-4642
Mailing address
10039 VINE ST, LAKESIDE, CA 92040-3120
(833) 867-4642
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95022993
CA
Other
Enumeration date
02/06/2023
Last updated
03/21/2024
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