Individual
STEPHANIE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6223 N CANTON CENTER RD STE 201, CANTON, MI 48187-2696
(734) 844-6533
Mailing address
6223 N CANTON ST, SUITE 201, CANTON, MI 48187
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704277196
MI
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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