Individual
APRIL LYN HOLLIVERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 FAIR OAKS AVE, SUITE 300, SOUTH PASADENA, CA 91030-2630
(626) 395-7100
Mailing address
13646 GOLDEN EAGLE CT, MORENO VALLEY, CA 92553-3406
(909) 653-3989
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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