Individual
HOLLY LEVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
149 SOUTH BAILEY HAZEN RD, RYEGATE, VT 05042-0000
(802) 584-4679
Mailing address
149 S BAILEY HAZEN RD, RYEGATE, VT 05042-0000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0260031866
VT
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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