Individual
DEASA HOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2473 TIMBERCROFT CT, CINCINNATI, OH 45239-6614
(513) 680-3371
Mailing address
2473 TIMBERCROFT CT, CINCINNATI, OH 45239-6614
(513) 680-3371
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
302F00000X
OH
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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