Individual
PEGGY HOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 GENESEE ST, UTICA, NY 13502-5635
(315) 797-7050
Mailing address
318 MCRAE ST, ROME, NY 13440-3018
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
159516
NY
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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