Individual
MRS. HOLLEY LEE HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2050 LIVERNOIS RD, TROY, MI 48083-1757
(248) 524-1270
(248) 524-0626
Mailing address
4087 RICH DR, WATERFORD, MI 48329-1131
(248) 421-9253
(248) 524-0626
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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