Individual
ALTHEA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
RN
Contact information
Practice address
520 CEDAR ST, SYRACUSE, NY 13210-2302
(315) 396-1204
Mailing address
1721 SKY HIGH RD, LA FAYETTE, NY 13084-3322
(315) 396-1204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
815357
NY
Other
Enumeration date
09/27/2024
Last updated
10/16/2024
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