Individual
HOLLY LYNN ROZEBOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101-1394
(712) 239-4702
(712) 239-0616
Mailing address
PO BOX 3128, SIOUX CITY, IA 51102-3128
(712) 239-4702
(712) 239-0616
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001057
IA
Other
Enumeration date
06/09/2006
Last updated
06/22/2010
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