Individual
DIANA HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9283 W US 84, NEWTON, AL 36352-8207
(334) 692-4455
Mailing address
9283 W US 84, NEWTON, AL 36352-8207
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-021270
AL
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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