Individual
TAMARA S HOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 JOHN ST, LYONS, MI 48851-5101
(616) 252-9884
Mailing address
PO BOX 124, LYONS, MI 48851-0124
(616) 252-9884
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704229510
MI
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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