Individual
BREA HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20249 YACAMA RD, DETROIT, MI 48203
(248) 915-8096
Mailing address
20249 YACAMA RD, DETROIT, MI 48203-4906
(248) 914-2908
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4703111492
MI
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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