Individual
LAURA HOLLAR-WILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 KEARNEY ST, FREMONT, CA 94538-2299
(510) 490-1222
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 498-2890
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
C141082
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
C141082
CA
Other
Enumeration date
04/19/2007
Last updated
05/29/2020
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