Individual
MICHAEL HOLLOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2727 N GETTYSBURG AVE APT 1, DAYTON, OH 45406-1613
(937) 620-8355
Mailing address
2727 N GETTYSBURG AVE APT 1, DAYTON, OH 45406-1613
(937) 620-8355
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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