Patrice Renae Holliday

NPI #1376311357 in Detroit, Michigan

Provider Information

NPI Number: 1376311357
Entity Type: Individual
Name: Patrice Renae Holliday
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Assistant
Enumeration Date: Dec 19, 2023
Last Updated: Dec 19, 2023

Practice Location

Address: 15874 ROBSON ST
City: Detroit
State: Michigan
ZIP Code: 48227-2643
Phone: (313) 622-2119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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