Individual
HOLLY MARIE DUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 MILLER RD, ALEXANDER, AR 72002-8567
(218) 591-2484
Mailing address
5701 MILLER RD, ALEXANDER, AR 72002-8567
(218) 591-2484
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3747A0650X
VA
—
Enumeration date
11/30/2020
Last updated
11/30/2020
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