Individual
CECILIA HOLTGREVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
507 DAYTON VIEW PL, DAYTON, OH 45402-4306
(937) 867-8427
Mailing address
507 DAYTON VIEW PL, DAYTON, OH 45402-4306
(937) 867-8427
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 076016
OH
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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