Individual
KAMIYAH HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 W ROOSEVELT RD, LOMBARD, IL 60148-4402
(630) 290-5800
Mailing address
410 N VILLA AVE, VILLA PARK, IL 60181-2268
(630) 299-6214
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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