ETHEL HOLDER

KISSIMMEE, FL
NPI1396889127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9109641)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NY  009214)
Enumeration Date2007-02-16
Last Update Date2021-03-15
Business Address
ETHEL HOLDER pa
1307 E OSCEOLA PKWY
KISSIMMEE, FL 34744-1605
Phone number: 844-665-4827
Mailing Address
ETHEL HOLDER pa
12001 AVALON LAKE DR APT 222
ORLANDO, FL 32828-7378
Phone number: 347-475-4503