Individual
JOYCE LAVETTE HOLLOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
542 CANON CIR, SPRINGFIELD, MA 01118-2648
(413) 219-2045
Mailing address
542 CANON CIR, SPRINGFIELD, MA 01118-2648
(413) 219-2045
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN92609
MA
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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