Loria Holmes

NPI #1205384344 in Jackson, Michigan

Provider Information

NPI Number: 1205384344
Entity Type: Individual
Name: Loria Holmes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Sep 19, 2016
Last Updated: Sep 19, 2016

Practice Location

Address: 2720 GRANADA DR
Address 2: 2D
City: Jackson
State: Michigan
ZIP Code: 49202-1309
Phone: (517) 945-6947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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