JACKSON RILEY HOLLAND

CENTRALIA, WA
NPI1548356272
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Y00000X Otolaryngology
(Licence: WA  13619)
Enumeration Date2006-10-04
Last Update Date2007-07-08
Business Address
-- JACKSON RILEY HOLLAND MD
1800 COOKS HILL RD
CENTRALIA, WA 98531-9072
Phone number: 360-736-0168
Mailing Address
-- JACKSON RILEY HOLLAND MD
PO BOX 11009
OLYMPIA, WA 98508-1009
Phone number: 360-352-2037