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Individual

MS. HOLLY BOWRON HAINLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
UNIV OF CA SAN DIEGO NEUROSCIENCE DEPARTMENT, 9500 GILMAN DRIVE MC- 0949, LA JOLLA, CA 92093-0001
(858) 677-1554
Mailing address
UNIV OF CA SAN DIEGO NEUROSCIENCE DEPARTMENT, 9500 GILMAN DRIVE MC- 0949, LA JOLLA, CA 92093-0001
(858) 677-1554

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP-11997
CA

Other

Enumeration date
08/05/2011
Last updated
08/05/2011
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