Individual
ANGENETTE HOLINESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22000 BALL AVE, EUCLID, OH 44123-2706
(216) 200-3821
Mailing address
22000 BALL AVE, EUCLID, OH 44123-2706
(216) 200-3821
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0323147
—
OH
Enumeration date
01/16/2019
Last updated
11/29/2022
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