Individual
DR. JENNIFER JEAN HOLLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
167 NORTHSHORE BLVD, SLIDELL, LA 70460-6836
(985) 690-6686
Mailing address
167 NORTHSHORE BLVD, SLIDELL, LA 70460-6836
(985) 690-6686
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1564-596T
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2008
Last updated
01/31/2012
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