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Individual

JVONA P HOLIDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1408 DUSKY THRUSH ST, DESOTO, TX 75115-7656
(214) 783-0438
(469) 533-5899
Mailing address
1301 E PARKERVILLE RD STE A8, #1011, DESOTO, TX 75115-6420
(469) 607-9949
(469) 533-5899

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
715101
TX
163WH0500X
Hemodialysis Registered Nurse
715101
TX

Other

Enumeration date
01/21/2022
Last updated
01/21/2022
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