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NPI Code Detail

MEDICARE: MRS. ROSIE BERNICE HOLIWELL PA-C

MEDICARE:  MRS. ROSIE BERNICE HOLIWELL  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA15781CA

General Provider Information

NPI Number : 1548262975
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROSIE BERNICE HOLIWELL PA-C
Provider Business Mailing Address
First Line : 5101 COMMERCE DR
Second Line : STE 101
City : BAKERSFIELD
State : CA
Zip : 93309-0412
Country : US
Telephone Number : 661-664-8783
Fax Number :
Provider Business Practice Location Address
First Line : 5101 COMMERCE DR
Second Line : SUITE 101
City : BAKERSFIELD
State : CA
Zip : 93309-0411
Country : US
Telephone Number : 661-327-3756
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 08/14/2018

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Directions to “ MRS. ROSIE BERNICE HOLIWELL PA-C” Practice Location

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