Individual
FELICIA E. HOLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
103 FRANKLIN SQ, BONAIRE, GA 31005-3244
(478) 396-0506
Mailing address
103 FRANKLIN SQ, BONAIRE, GA 31005-3244
(478) 396-0506
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P05580
GA
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/16/2008
Last updated
12/02/2024
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