Individual
CARRIE ANN HOLLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
647 WEST THIRD STREET, MANSFIELD, OH 44906
(419) 632-9186
Mailing address
647 W 3RD ST, MANSFIELD, OH 44906-2634
(419) 632-9186
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.294856
OH
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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