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Miss Holly Virtues
Student in an Organized Health Care Education/Training Program in Little Suamico, Wisconsin
NPI 1629701230

Holly Virtues is a Student in an Organized Health Care Education/Training Program based in Little Suamico, WI. Holly Virtues practices in Little Suamico, WI. The NPI Number for Holly Virtues is 1629701230 and holds a License No. (Wisconsin).

The current practice location address for Holly Virtues is 5110 Lade Beach Rd, Little Suamico, WI and can be reached out via phone at 920-373-5273.

Location: 5110 Lade Beach Rd, Little Suamico, WI, 54141-9043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629701230
Provider Name
Holly Virtues
Credential
Provider Entity Type
Individual
Gender
Female
Address
5110 Lade Beach Rd, Little Suamico, WI, 54141-9043
Phone Number
920-373-5273
Fax Number
Provider Enumeration Date
07/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5110 Lade Beach Rd
City
Little Suamico
State
Wisconsin
Zip
54141-9043
Phone Number
920-373-5273
Fax Number
person
Provider Business Mailing Address Details
Address
5110 Lade Beach Rd
City
Little Suamico
State
Wisconsin
Zip
54141-9043
Phone Number
920-373-5273
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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