BRENT HOLLOWAY

IDAHO FALLS, ID
NPI1265051171
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-04-10
Last Update Date2020-04-10
Business Address
BRENT HOLLOWAY
1301 E 17TH ST
IDAHO FALLS, ID 83404-6273
Phone number: 208-538-3122
Mailing Address
BRENT HOLLOWAY
1995 E 17TH ST
IDAHO FALLS, ID 83404-6493
Phone number:
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