Individual provider · Type 1 NPI

Holly L. Dewall

Student in an Organized Health Care Education/Training Program · Ukiah, CA

NPI number 1093630725 Active

Practice location

169 Mason St Ste 300
Ukiah, CA 95482-4483

Call (707) 463-3300 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093630725

Holly L. Dewall's National Provider Identifier is 1093630725, issued on Aug 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ukiah, CA. The record was last updated on Aug 11, 2026.