MS. Sally Jo Holloway

NPI #1477536050 in Merritt Island, Florida

Provider Information

NPI Number: 1477536050
Entity Type: Individual
Name: MS. Sally Jo Holloway
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Adult Companion
Enumeration Date: Nov 28, 2005
Last Updated: Mar 30, 2011

Practice Location

Address: 2070 TEMPLE AVE
City: Merritt Island
State: Florida
ZIP Code: 32953-4221
Phone: (321) 453-8976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary
Day Training/Habilitation Specialist	373H00000X

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