Individual
PATRICE RENAE HOLLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15874 ROBSON ST, DETROIT, MI 48227-2643
(313) 622-2119
Mailing address
15874 ROBSON ST, DETROIT, MI 48227-2643
(313) 622-2119
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
2903003575
MI
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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