Individual
DONNA MICHELLE HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 SMITHSON LN, BUNCOMBE, IL 62912-2429
(618) 697-6274
Mailing address
195 SMITHSON LN, BUNCOMBE, IL 62912-2429
(618) 697-6274
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/19/2017
Last updated
11/19/2017
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