Individual
DAVONTRE HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 SUNNEN DR APT 145, MAPLEWOOD, MO 63143-3830
(314) 799-4571
Mailing address
31 SUNNEN DR APT 145, MAPLEWOOD, MO 63143-3830
(314) 799-4571
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2017007229
MO
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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