Individual
MRS. GLENDA JOANN HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
SANDVALLEY ROAD 10596, AVERA, GA 30803
(912) 245-4504
Mailing address
P.O. BOX 85, KINGDOM KARE & KOMFORT, WRENS, GA 30833
(912) 245-4504
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN050212
GA
172A00000X
Driver
055768176
GA
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/20/2015
Last updated
01/21/2015
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