Most Relevant Information
Provider Data
| NPI Number: | 1003225533 |
| Provider Name: | KATINA LATRICE HOLLIDAY |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95000731 |
Most Important Dates
| Enumeration Date: | 08/08/2014 |
| Last Updated: | 08/26/2014 |
Provider Practice Location
4200 E COMPTON BLVD
COMPTON
CA
902213663
Practice Location Phone/Fax
| Phone: | 2134889559 |
| Fax: |
Provider Mailing Location
14608 VAN NESS AVE
GARDENA
CA
902493258
Provider Mailing Phone/Fax
| Phone: | 3104932769 |
| Fax: |