Individual
MS. MARCELLA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
589 S HOOD ST, OLANTA, SC 29114-9496
(803) 847-9269
Mailing address
589 S HOOD ST, OLANTA, SC 29114-9496
(803) 847-9269
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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