Individual
SHYANA MONIQUE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10130 MALLARD CREEK RD, CHARLOTTE, NC 28262-6000
(973) 609-3506
Mailing address
10130 MALLARD CREEK RD, CHARLOTTE, NC 28262-6000
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2022-9000-01
NC
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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