Individual
BRANDIE HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2341 BLUELARK DR, CINCINNATI, OH 45231-4151
(513) 623-6979
Mailing address
2341 BLUELARK DR, CINCINNATI, OH 45231-4151
(513) 623-6979
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108257508399
—
OH
Enumeration date
02/21/2017
Last updated
02/21/2017
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