JUSTIN HOLLAND

TULALIP, WA
NPI1275977076
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WA  LP60230777)
Enumeration Date2013-04-23
Last Update Date2013-04-23
Business Address
-- JUSTIN HOLLAND LPN
13820 19TH AVE NE
TULALIP, WA 98271-6706
Phone number: 425-231-8545
Mailing Address
-- JUSTIN HOLLAND LPN
6724 73RD ST NE
MARYSVILLE, WA 98270-7713
Phone number: