Individual
MS. MICHELLE ETOLIE HOLLIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5620 INDIAN TRL, SUFFOLK, VA 23434-7365
(757) 338-3232
Mailing address
5620 INDIAN TRL, SUFFOLK, VA 23434-7365
(757) 338-3232
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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