Individual
PALENA ANGELA HOLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
553 WOODWARD AVE, JACKSON, MI 49201-1019
(517) 240-8275
Mailing address
553 WOODWARD AVE, JACKSON, MI 49201
(517) 240-8275
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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