HOLLI DEZAUN WALLER

BLACKSBURG, VA
NPI1053622167
Former NameHOLLI DEZAUN HOLMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0116022785)
Enumeration Date2010-06-24
Last Update Date2010-06-24
Business Address
Mrs. HOLLI DEZAUN WALLER D.O.
3700 SOUTH MAIN STREET
BLACKSBURG, VA 24060
Phone number: 540-953-5445
Mailing Address
Mrs. HOLLI DEZAUN WALLER D.O.
6326 STONEWOOD POINTE LN.
HOUSTON, TX 77066
Phone number: 281-300-9849
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FAMILY MEDICINE OF BLACKSBURG, LLC