Individual
MRS. JANINE HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7238 MECHANICSVILLE TPKE, MECHANICSVILLE, VA 23111-3502
(804) 559-9900
Mailing address
4807 NEWBYS MILL TER, CHESTERFIELD, VA 23832-7875
(804) 674-1746
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001893
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00703827
RR MEDICARE
VA
Enumeration date
03/20/2006
Last updated
06/19/2009
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