Individual
RUTH SUSANNA HOLLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 SOUTHERN BLVD, DAYTON, OH 45429-1221
(937) 298-4331
Mailing address
3533 SOUTHERN BLVD STE 4400, DAYTON, OH 45429-1273
(937) 293-8228
(937) 293-8229
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0020258
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
445994
OH
Other
Enumeration date
12/31/2020
Last updated
01/05/2022
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