Individual
HOLLY RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
990 W ANN ARBOR TRL, SUITE 210, PLYMOUTH, MI 48170-6204
(734) 455-4600
(734) 455-5637
Mailing address
2100 COMMONWEALTH BLVD, SUITE 202, ANN ARBOR, MI 48105-1593
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704150545
MI
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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