Individual
KATHERINE JONES HOLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7040 MCKAY RD, JACKSON, MI 49201-9261
(517) 740-5620
Mailing address
304 W ANTOINE ST, IRON MOUNTAIN, MI 49801-1314
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902015485
MI
124Q00000X
Dental Hygienist
4877
TN
Other
Enumeration date
10/19/2009
Last updated
01/21/2014
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