Individual
MS. RANDI LEE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
98 N 1100 E STE 101, AMERICAN FORK, UT 84003-2940
(801) 492-2550
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11573235-1206
UT
363AM0700X
Medical Physician Assistant
11573235-1206
UT
363AM0700X
Medical Physician Assistant
—
CA
Other
Enumeration date
04/09/2013
Last updated
10/11/2024
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