Individual
KEONA HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3329 ALTO RD, BALTIMORE, MD 21216-1802
(443) 630-8809
Mailing address
3329 ALTO RD, BALTIMORE, MD 21216-1802
(443) 630-8809
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MD
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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