Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | PTL4292 | CA |
NPI | 1427677145 |
---|---|
Provider Name | Dr. Chelsie Nicole Hollas |
First Address | Oklahoma City, OK 73104-4637 |
Second Address | Oakland, CA 94602-1018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2020 |
Last Update Date | 07/06/2021 |