Individual
MR. CRAIG JEFFREY HOLMES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
3150 MADEIRA AVE, COSTA MESA, CA 92626-2324
(714) 931-3616
Mailing address
3150 MADEIRA AVE, COSTA MESA, CA 92626-2324
(714) 931-3616
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
2750-T
CA
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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