Individual
JACKLYN DENICE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28198 PRETLOW RD, FRANKLIN, VA 23851-4105
(757) 569-7813
Mailing address
28198 PRETLOW RD, FRANKLIN, VA 23851-4105
(757) 569-7813
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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