Individual
RHONDA HOLLAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19456 CONCORD ST, DETROIT, MI 48234-2940
(248) 298-9368
Mailing address
19456 CONCORD ST, DETROIT, MI 48234-2940
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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