Holly Stover

NPI #1326583923 in Bastrop, Louisiana

Provider Information

NPI Number: 1326583923
Entity Type: Individual
Name: Holly Stover
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Jan 5, 2017
Last Updated: Jan 5, 2017

Practice Location

Address: 10728 SHELTON RD
City: Bastrop
State: Louisiana
ZIP Code: 71220-7570
Phone: (318) 351-0994

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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