Individual
DR. JAMILA HOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(800) 836-7536
Mailing address
6518 LINCOLN DR, PHILADELPHIA, PA 19119-3624
(856) 842-8414
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OT023412
PA
208D00000X
General Practice Physician
OS022713
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2021
Last updated
07/23/2024
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