Individual
ANGELA HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
913 SEYMOUR AVE, JACKSON, MI 49202-2543
(517) 962-3094
Mailing address
913 SEYMOUR AVE, JACKSON, MI 49202-2543
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703086712
MI
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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