Individual
OCTAVIA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8939 JEFFERSON HWY APT 414, BATON ROUGE, LA 70809-2422
(225) 276-0872
Mailing address
8939 JEFFERSON HWY APT 414, BATON ROUGE, LA 70809-2422
(225) 276-0872
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20180737
LA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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