Individual
DIANE ELISE OLLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4065 SANDVIEW DR, MEDINA, OH 44256-7230
(330) 242-3423
Mailing address
4065 SANDVIEW DR, MEDINA, OH 44256-7230
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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