| Jovantae Holloway, | |
|
15340 1/2 Avis Ave, Lawndale, CA 90260-2207 | |
| (310) 697-2182 | |
| Not Available |
| Full Name | Jovantae Holloway |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 15340 1/2 Avis Ave, Lawndale, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891112884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 97913 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jovantae Holloway, 15340 1/2 Avis Ave, Lawndale, CA 90260-2207 Ph: (310) 697-2182 | Jovantae Holloway, 15340 1/2 Avis Ave, Lawndale, CA 90260-2207 Ph: (310) 697-2182 |
Van Tuong Thy Bui, LCSW, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4161 W 147th St, Lawndale, CA 90260 Phone: 310-973-1300 | |
Vianna Julissa Recendez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4161 W 147th St, Lawndale, CA 90260 Phone: 310-973-1300 |