Individual
MRS. NELA JOY HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SE
Contact information
Practice address
620 S IDAHO AVE, FRUITLAND, ID 83619-2607
(208) 452-7190
(208) 452-5819
Mailing address
620 S IDAHO AVE, FRUITLAND, ID 83619-2607
(208) 452-7190
(208) 452-5819
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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