Individual
MRS. CAROL LYNN HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 COUNTY ROAD 4101, JACKSONVILLE, TX 75766-0512
(903) 586-6440
Mailing address
1070 COUNTY ROAD 4101, JACKSONVILLE, TX 75766-0512
(903) 586-6440
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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