Individual
REYONNA HOLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5625 HOOVER ST, WAYNE, MI 48184-2623
(313) 442-2924
Mailing address
5625 HOOVER ST, WAYNE, MI 48184-2623
(313) 442-2924
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703120295
MI
247200000X
Other Technician
—
—
Other
Enumeration date
10/13/2016
Last updated
04/29/2024
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