Individual
MRS. TAMMIE MERANDA HOLLOWAY-RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS MENTAL DISAB
Contact information
Practice address
508 JONES ST, ROXBORO, NC 27573-5018
(336) 599-4867
Mailing address
1130 ALLENSVILLE RD, ROXBORO, NC 27574-7057
(919) 358-2773
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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