Individual
HOLLY EILEEN SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1565 SASSAFRAS DR, MANSFIELD, OH 44905-2355
(419) 631-1495
Mailing address
1565 SASSAFRAS DR, MANSFIELD, OH 44905-2355
(419) 631-1495
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
260646
OH
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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