Individual
BEVERLY JEAN HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9331 FOSTER RD APT C, BATON ROUGE, LA 70811-2736
(225) 439-8361
Mailing address
9331 FOSTER RD APT C, BATON ROUGE, LA 70811-2736
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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