Individual
ABBY LYNN HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 S MAIN ST, BLUFFTON, IN 46714-3616
(260) 824-1071
Mailing address
909 E STATE BLVD, FORT WAYNE, IN 46805-3458
(260) 482-9125
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27061503A
IN
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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