Individual
LISA MARIE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
1263 N. FRAZER ST., GEORGETOWN, SC 29440
(843) 367-5180
Mailing address
1908 HAMPTON CT, GEORGETOWN, SC 29440-3140
(843) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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