Individual
GARNET K.B. HOLLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, LCCE
Contact information
Practice address
315 FARMER DR, MEDWAY, OH 45341-9510
(937) 902-1289
Mailing address
315 FARMER DR, MEDWAY, OH 45341-9510
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.177358
OH
163WS0200X
School Registered Nurse
Primary
RN.177358
OH
Other
Enumeration date
02/07/2020
Last updated
10/29/2020
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