Individual
KIMBERLY DEEANNE HOLLOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4750 E MAPLE RD, GENEVA, OH 44041-8174
(440) 382-3818
Mailing address
4750 E MAPLE RD, GENEVA, OH 44041-8174
(440) 382-3818
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
RH255479
OH
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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