Individual
DONNELL HOLMES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15323 NORTHGATE BLVD APT 201, OAK PARK, MI 48237-3322
(313) 765-5510
Mailing address
15323 NORTHGATE BLVD APT 201, OAK PARK, MI 48237-3322
(313) 765-5510
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/11/2025
Last updated
01/11/2025
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