Individual
JIMMI HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9201 S WESTERN AVE STE A-21, OKLAHOMA CITY, OK 73139-2742
(405) 626-2544
Mailing address
1137 SW 31ST ST, OKLAHOMA CITY, OK 73109-2320
(405) 708-9834
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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