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Organization

JENNIFER HOLLIDAY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER HOLLIDAY O.D. (OPTOMETRIST)
(985) 690-6686
Entity
Organization

Contact information

Practice address
167 NORTHSHORE BLVD, SLIDELL, LA 70460-6836
(985) 690-6686
(985) 690-6648
Mailing address
167 NORTHSHORE BLVD, SLIDELL, LA 70460-6836
(985) 690-6686
(985) 690-6648

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1564-596T
LA

Other

Enumeration date
03/05/2012
Last updated
03/05/2012
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