Individual
JACQUELINE HOLCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 SKYWAY DR, WARNER ROBINS, GA 31088-3868
(478) 228-5569
Mailing address
407 SKYWAY DR, WARNER ROBINS, GA 31088-3868
(478) 228-5569
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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