Individual
BRANDY LEE HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12650 BLACK LN, GREENFIELD, OH 45123-9462
(740) 571-6989
Mailing address
12650 BLACK LN, GREENFIELD, OH 45123-9462
(740) 571-6989
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
602744701123
OH
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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