Individual
SUMMER-SKYY HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6813 AUTUMN POINT DR, NORTH CHESTERFIELD, VA 23234-3068
(631) 796-2427
Mailing address
6813 AUTUMN POINT DR, NORTH CHESTERFIELD, VA 23234-3068
(631) 796-2427
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
256384-1
NY
Other
Enumeration date
04/16/2010
Last updated
04/15/2015
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