Individual
RANISHA HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8128 AUTUMN STAR AVE, LAS VEGAS, NV 89145-2433
(310) 220-7199
Mailing address
8128 AUTUMN STAR AVE, LAS VEGAS, NV 89145-2433
(310) 220-7199
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
NONE
NV
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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