Individual
MS. DORENE K. HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BC
Contact information
Practice address
4881 SUGAR MAPLE DR, 88MDOS/SGOCP, WPAFB, OH 45433-5529
(937) 522-4732
(937) 656-1301
Mailing address
4390 S DAYTON BRANDT RD, NEW CARLISLE, OH 45344-9698
(937) 845-9712
(937) 845-9712
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN197762
OH
163WL0100X
Lactation Consultant (Registered Nurse)
RN197762
OH
163WP0200X
Pediatric Registered Nurse
Primary
RN197762
OH
Other
Enumeration date
09/26/2005
Last updated
08/28/2012
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