Individual
ALISHA C HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
11689 SQUIERS BLVD, UTICA, MI 48315-5936
(313) 320-2022
Mailing address
11800 E 12 MILE RD, WARREN, MI 48093-3472
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704257790
MI
Other
Enumeration date
10/01/2018
Last updated
10/26/2021
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