Individual
JOSIE ANNE HOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E MAIN ST UNIT G, ST CHARLES, IL 60174-2431
(630) 880-0993
Mailing address
744 LATHEM ST, BATAVIA, IL 60510-2178
(630) 457-7741
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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