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Individual

OSHNIQUE HOLLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
12007 LINWOOD ST, DETROIT, MI 48206-1107
(313) 867-1090
Mailing address
18493 HEYDEN ST, DETROIT, MI 48219-3410
(313) 333-5914

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703128547
MI

Other

Enumeration date
10/03/2024
Last updated
10/03/2024
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