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NPI Code Detail

MEDICARE: BRITTANY HOLEMAN

MEDICARE: BRITTANY HOLEMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1861600462
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY HOLEMAN
Provider Business Mailing Address
First Line : 6263 HIGHWAY 49 S
Second Line :
City : PARAGOULD
State : AR
Zip : 72450-6093
Country : US
Telephone Number : 870-240-0444
Fax Number :
Provider Business Practice Location Address
First Line : 6263 HIGHWAY 49 S
Second Line :
City : PARAGOULD
State : AR
Zip : 72450-6093
Country : US
Telephone Number : 870-240-0444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 01/13/2016

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Directions to “ BRITTANY HOLEMAN ” Practice Location

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