Individual
MS. JENNIFER SUZANNE HOLLENBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
236 CANDACE DR, HARVEY, MI 49855-9301
(906) 249-9492
Mailing address
485 HUSTLER ST, GWINN, MI 49841-2902
(906) 361-4140
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703120314
MI
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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