Individual
EBONI HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 N 21ST ST, SAGINAW, MI 48601-1311
(989) 392-4488
Mailing address
402 N 21ST ST, SAGINAW, MI 48601-1311
(989) 392-4488
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
MI
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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