Individual
JELESA HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8000 TOWERS CRESCENT DR FL 13, VIENNA, VA 22182-6211
(833) 599-2560
Mailing address
13 N VIRGINIA AVE, RICHMOND, VA 23223-3431
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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