Individual
MS. CHARISSE L HOLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
PNC BANK PIMC, P.O. BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
940629
IL
Other
Enumeration date
11/15/2006
Last updated
01/15/2015
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