Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI # | 1720523541 |
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| LBN Legal business name | HOLISTIC HEALTHCARE SERVICES, LLC | ||||||||||||||||
| Authorized official | SANTA CRISALL - (PRESIDENT) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 01/03/2017 | ||||||||||||||||
| Last updated | 11/19/2023 - About 3 years ago | ||||||||||||||||
| Identifiers |
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