Holly Marie Spencer

NPI #1356906804 in Kennett, Missouri

Provider Information

NPI Number: 1356906804
Entity Type: Individual
Name: Holly Marie Spencer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: May 9, 2019
Last Updated: May 9, 2019

Practice Location

Address: 1226 INDEPENDENCE AVE
City: Kennett
State: Missouri
ZIP Code: 63857-1316
Phone: (573) 888-5925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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