Jennifer M Holland
Technician, Personal Care Attendant in Jay, FL. Individual provider (NPI-1).
NPI number1982168514
StatusActive
Last updated in NPPESJan 28, 2019
Details
- NPI
- 1982168514
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer M Holland
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2019
- Last updated
- Jan 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
2707 Bud Diamond RdJay, FL 32565-4846
Phone 850-398-3961
Mailing address
2707 Bud Diamond RdJay, FL 32565-4846
Phone 850-398-3961
Other practice locations
2707 Bud Diamond Rd
Jay, FL 32565-4846
Jay, FL 32565-4846
Phone 850-398-3961
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