Doctor Name: | YVETTE DENISE HOLMAN |
NPI Number: | 1205254125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 95000305 |
Business Practice Address: | 21500 Pioneer Blvd Hawaiian Gardens, CA - 907162600 |
Business Phone Number: | 8558456291 |
Business Fax Number: | |
Mailing Address: | 2435 Rodeo Rd, LOS ANGELES |
State: | CA |
Postal Code: | 900184231 |
Phone Number: | 3232984897 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2014 |
NPI Last Update Date: | 03/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 95000305 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |