Individual
DANIEL BENNETT HOLLOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 MILAN ST, NEW ORLEANS, LA 70115-2718
(901) 218-2524
Mailing address
1110 MILAN ST, NEW ORLEANS, LA 70115-2718
(901) 218-2524
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200437
LA
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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