Individual
JESSICA MICHELLE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
4980 SEAN HAGGERTY DR APT 373, EL PASO, TX 79934-3342
(760) 490-6618
Mailing address
4980 SEAN HAGGERTY DR APT 373, EL PASO, TX 79934-3342
(760) 490-6618
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
101685
TX
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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