Individual
MRS. JANICE MARIE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16107 E HWY 40, 16107 E HWY 40, INDEPENDENCE, LA 70443-2553
(985) 517-2396
Mailing address
PO BOX 1329, INDEPENDENCE, LA 70443-1329
(985) 517-2396
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
LA
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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