Individual
KARLITHA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8889 DELTA PLACE RD, NEW ROADS, LA 70760-4514
(225) 718-0179
Mailing address
PO BOX 1068, NEW ROADS, LA 70760-1068
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000
—
LA
Enumeration date
08/22/2018
Last updated
08/22/2018
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