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Individual

MRS. PRISCILLA A HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
333 UNIVERSITY AVE STE 200, SACRAMENTO, CA 95825-6540
(916) 280-1045
Mailing address
9409 SILVER BRIDLE WAY, ELK GROVE, CA 95758-3962
(916) 280-1045

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
C2221045
CA

Other

Enumeration date
08/03/2021
Last updated
08/03/2021
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