Individual
ANGELA HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 GRAND BLVD, BEDFORD, OH 44146-2148
(440) 786-7860
Mailing address
42 GRAND BLVD, BEDFORD, OH 44146-2148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
255465
OH
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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