Provider Demographics
NPI:1730608373
Name:HOLMAN, JULIA (LAC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:HOLMAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 NANIHOKU PL
Mailing Address - Street 2:
Mailing Address - City:HAIKU
Mailing Address - State:HI
Mailing Address - Zip Code:96708-5832
Mailing Address - Country:US
Mailing Address - Phone:808-635-1790
Mailing Address - Fax:
Practice Address - Street 1:1034 NANIHOKU PL
Practice Address - Street 2:
Practice Address - City:HAIKU
Practice Address - State:HI
Practice Address - Zip Code:96708-5832
Practice Address - Country:US
Practice Address - Phone:808-635-1790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI843171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist