Individual
ENETRA HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MARTIN DR, BIRMINGHAM, AL 35215-1109
(205) 601-1075
Mailing address
100 MARTIN DR, BIRMINGHAM, AL 35215-1109
(205) 601-1075
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
126097
AL
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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