Individual
MR. BRIAN JAMISON HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1893 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32117-5535
(386) 676-2364
Mailing address
57 ORCHARD LN APT N, ORMOND BEACH, FL 32176-5709
(386) 299-1280
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA53962
FL
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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