Individual
DANA VIOLA HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
821 W CROSS ST, BALTIMORE, MD 21230-2501
(443) 633-1768
Mailing address
821 W CROSS ST, BALTIMORE, MD 21230-2501
(443) 633-1768
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
30AL3591-A
MD
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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