Provider Information for 1881876498
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Mrs. KATHERINE WIX HOLLOWAY M.A.
Sex: Female
NPI: 1881876498
Last Updated: 2016-02-19
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1881876498 | ||||||||
| Enumeration Date | 2007-12-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 7512 STANICH LN STE 5 GIG HARBOR, WA 98335-5127 United States Phone: 253-318-6836 | Fax: | ||||||||
| Primary Practice Address | 7512 STANICH LN STE 5 GIG HARBOR, WA 98335-5127 United States Phone: 253-318-6836 | Fax: | ||||||||
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