Individual
PAM JUNE HOLLADAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 GOLDSMITH LN, LOUISVILLE, KY 40218-2066
(502) 636-3207
Mailing address
1906 GOLDSMITH LN, LOUISVILLE, KY 40218-2066
(502) 636-3207
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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