MRS. Lanisha J Holloway
NPI #1497039143 in Jacksonville, Florida
Provider Information
- NPI Number
- 1497039143
- Entity Type
- Individual
- Name
- MRS. Lanisha J Holloway
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 29, 2011
- Last Updated
- Oct 6, 2011
Practice Location
- Address
- 5022 PERRINE DR
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32210-7859
- Phone
- (904) 772-0651
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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