Individual
TOMMY HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33533 W 12 MILE RD, FARMINGTON HILLS, MI 48331-3354
(248) 406-0620
Mailing address
23239 CORNERSTONE VILLAGE DR, SOUTHFIELD, MI 48075-3684
(313) 772-1845
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
H430799162273
MI
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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