Individual
ZACHARY GRANT GHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17920 DETROIT AVE APT 311, LAKEWOOD, OH 44107-3438
(216) 860-7573
Mailing address
17920 DETROIT AVE APT 311, LAKEWOOD, OH 44107-3438
(216) 860-7573
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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