Individual
JACQUELINE ELAINE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
2720 WATSON BLVD, WARNER ROBINS, GA 31093-8041
(478) 971-4949
(478) 971-7080
Mailing address
2720 WATSON BLVD, WARNER ROBINS, GA 31093-8041
(478) 971-4949
(478) 971-7080
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002113
GA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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