Individual
PATREA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
6019 MORNING MIST DR, BEAUFORT, SC 29906-6861
(843) 368-8612
Mailing address
6019 MORNING MIST DR, BEAUFORT, SC 29906-6861
(843) 368-8612
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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