Juanita Denae Holley A.T.C.

NPI 1396855813 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1396855813
Gender Female
Enumeration Date 08/30/2006
Last Updated 01/15/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
641 CAMPUS DR
STANFORD CA, 94305-6201, US
Phone (650) 391-7829
Fax
Business Location
641 CAMPUS DR
STANFORD CA, 94305-6201, US
Phone (650) 391-7829
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Virginia
License Number 012000864
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According to our database, Ms. Juanita Denae Holley A.T.C. NPI is 1396855813, taxonomy code is 2255A2300X and license number is 012000864, license state is located at Virginia. Juanita Denae Holley A.T.C. physically located at 641 Campus Dr, Stanford CA, 94305-6201. NPI Number Juanita Denae Holley A.T.C. has the Individual type.

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1396855813 NPI number is provided on an as is basis without warranty of any kind. 1396855813 is maintained by the National Plan & Provider Enumeration System. The contents of Juanita Denae Holley A.T.C. are for informational purposes only.