Individual
MS. HOLLY MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4849 SEDONA DR, EUGENE, OR 97404-3309
(541) 337-6976
Mailing address
215 HERITAGE AVE, EUGENE, OR 97404-2691
(541) 337-6976
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
10/27/2019
Last updated
11/08/2019
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