Marvin L. Holloman

NPI #1164936787 in Dyer, Indiana

Provider Information

NPI Number
1164936787
Entity Type
Organization
Organization Name
Marvin L. Holloman
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Nov 17, 2017
Last Updated
Nov 17, 2017

Practice Location

Address
425 JOLIET ST STE 125
City
Dyer
State
Indiana
ZIP Code
46311-1775
Phone
(708) 625-5681

Authorized Official

Name
MRS. LATOYA HOLLOMAN
Title
ADMIN
Phone
(708) 625-5681

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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