Individual
ROBERTA LEE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 E MORGAN ST, EDGERTON, KS 66021-9269
(816) 255-5332
Mailing address
309 E MORGAN ST, EDGERTON, KS 66021-9269
(816) 255-5332
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
KS
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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