Individual
MRS. ANDRECIA COLETTE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSFA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136001087
VA
246ZS0410X
Surgical Technologist
0137000036
VA
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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