Individual
MADELINE VON HOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
984 N MERIDIAN PL, WASILLA, AK 99654-7215
(907) 631-4029
Mailing address
PO BOX 3870, PALMER, AK 99645-3870
(907) 841-8376
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
163970
AK
Other
Enumeration date
07/22/2020
Last updated
07/26/2020
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