Individual
MELISSA HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 W LANCASTER AVE, DEVON, PA 19333-1560
(888) 732-6837
Mailing address
125 WESTMORELAND DR, COATESVILLE, PA 19320-4302
(610) 405-0166
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN322923
PA
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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