Individual
CHARLOTTE HOLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9624 MALLARD LN, PLANTERSVILLE, TX 77363-7612
(936) 262-9800
Mailing address
PO BOX 546, PLANTERSVILLE, TX 77363-0546
(936) 262-9800
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
25576170
TX
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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