Individual
MONTRECE HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 WOODPATH DR, FLORISSANT, MO 63031-1238
(314) 581-1543
Mailing address
1314 WOODPATH DR, FLORISSANT, MO 63031-1238
(314) 581-1543
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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