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Individual

MS. ROSZINA TEKOLA HOLMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
7904 HARTFORD RD, PARKVILLE, MD 21234
(410) 656-3976
(410) 665-2632
Mailing address
312 RENAISSANCE WAY, CONYERS, GA 30012-8008
(678) 531-0248

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
202409036
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AC007603
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
192128
GA
Enumeration date
08/28/2012
Last updated
08/06/2025
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