Individual
STAN HOLGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 UPLAND ST, KENAI, AK 99611-8026
(907) 252-0780
(888) 491-3243
Mailing address
387 SOHI LN APT 2, SOLDOTNA, AK 99669-7360
(907) 252-0780
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/29/2021
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