Individual
MORALE VONETTA HOLSTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 SATELLITE BLVD, DULUTH, GA 30096-5821
(404) 551-7978
Mailing address
1110 PEPPER LN, LAWRENCEVILLE, GA 30044-7101
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
COSA063639
GA
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
08/17/2023
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