Holliman, Jaqualah

Holliman, Jaqualah is an individual health care provider with primary practice located at 345A Greenwood St , Worcester MA 01607-1753. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Holliman, Jaqualah can be contacted via phone (508) 363-0200.

Contact Information

Primary practice address
345A Greenwood St Worcester MA 01607-1753
Fax:
Website:

Health care specialties

Profile Details

NPI number 1932783495
LBN Legal business name Holliman, Jaqualah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2021
Last updated May 11th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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