Individual
DESIREA RAECHELLE HOLSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1149 JOHNSON RUN RD, STOUT, OH 45684-9639
(937) 217-4116
Mailing address
1149 JOHNSON RUN RD, STOUT, OH 45684-9639
(937) 217-4116
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
184855
OH
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
01/09/2026
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