Individual
EBONY MARSHAA HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ARMSTRONG ST, PORTSMOUTH, VA 23704-1802
(757) 807-4561
Mailing address
1568 DARREN CIR, PORTSMOUTH, VA 23701-3102
(757) 807-4561
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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