| Kendall Eric Holley, | |
|
14555 Saticoy St Apt 24, Van Nuys, CA 91405-1325 | |
| (919) 623-1627 | |
| Not Available |
| Full Name | Kendall Eric Holley |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 14555 Saticoy St Apt 24, Van Nuys, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316863665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 78296 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall Eric Holley, 14555 Saticoy St Apt 24, Van Nuys, CA 91405-1325 Ph: (919) 623-1627 | Kendall Eric Holley, 14555 Saticoy St Apt 24, Van Nuys, CA 91405-1325 Ph: (919) 623-1627 |
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