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Individual

MRS. JANICE WRIGHT HOLLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
112 W WASHINGTON ST, SUFFOLK, VA 23434-5246
(757) 539-9722
(757) 539-9744
Mailing address
PO BOX 4314, SUFFOLK, VA 23439-4314

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
0001188800
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255530226
VA
Enumeration date
10/19/2009
Last updated
10/19/2009
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