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Individual

STANLEY HOLLOWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1203 HILLSIDE AVE, NORFOLK, VA 23503-2155
(757) 323-6053
Mailing address
PO BOX 2071, NORFOLK, VA 23501-2071
(757) 323-6053

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
02/19/2014
Last updated
10/07/2015
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