Individual
MS. ANTOINETTE JUNE HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
RIVERVIEW CENTER 150 BROADWAY, SUITE 6E, ALBANY, NY 12204
(800) 343-9000
Mailing address
53 E BEL AIR AVE APT 3, ABERDEEN, MD 21001-3796
(646) 271-8383
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
228546
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02570047
—
NY
Enumeration date
04/16/2007
Last updated
07/09/2007
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