Individual
MS. KATHY A HOLSOM-BENION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3515 WEST THURMAN DRIVE, LAVEEN, AZ 85339
(602) 501-3976
Mailing address
3515 WEST THURMAN DRIVE, LAVEEN, AZ 85339
(602) 501-3976
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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