Individual
KEASHA HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 BROZZINI CT, GREENVILLE, SC 29615-5340
(800) 805-6989
Mailing address
19 BRIDWELL AVE, GREENVILLE, SC 29607-4502
(516) 987-0390
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
55563
SC
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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