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Moniet Holloway
NPI 1588393193 · on the registry since 2022 · sole proprietor
Practice
- Address
- 19509 Lake Park Dr
Lynwood, IL 60411 - Phone
- (708) 949-6438
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois