Individual
ASHLEE ROSE HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 DARST RD, KETTERING, OH 45440-3409
(937) 760-3069
Mailing address
114 DARST RD, KETTERING, OH 45440-3409
(937) 760-3069
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177012
—
OH
Enumeration date
12/12/2020
Last updated
12/12/2020
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