Individual
MISS HOLLY LYNN WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
1224 REDBUD DR, COLUMBUS, OH 43228-3564
(513) 344-5036
Mailing address
1224 REDBUD DR, COLUMBUS, OH 43228-3564
(513) 344-5036
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN11324
OH
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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