Individual
TEAIRA RENEE HOLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 HEFFRON DR APT 13, FAIRFIELD, OH 45014-7710
(513) 442-6721
Mailing address
10 HEFFRON DR APT 13, FAIRFIELD, OH 45014-7710
(513) 442-6721
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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