Individual
HOLLY CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
471 NE 214TH AVE, CROSS CITY, FL 32628
(352) 210-0577
Mailing address
471 NE 214TH AVE, CROSS CITY, FL 32628-3397
(352) 210-0577
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5227277
FL
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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