Individual
JEFFREY HOLLIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1808 GLENMAR AVE, MONROE, LA 71201-4932
(318) 327-5344
Mailing address
1808 GLENMAR AVE, MONROE, LA 71201-4932
(318) 327-5344
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20100479
LA
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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