Individual
BETTY A HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
N57W24950 N CORPORATE CIR, PROHEALTH CARE MEDICAL ASSOCIATES INC., SUSSEX, WI 53089-4383
(262) 820-3093
(262) 532-9598
Mailing address
N57W24950 N CORPORATE CIR, PROHEALTH CARE MEDICAL ASSOCIATES INC., SUSSEX, WI 53089-4383
(262) 820-3093
(262) 532-9598
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
2208
WI
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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