Individual
IRIS HOLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3530 MILLVALE AVE NE APT A, CANTON, OH 44705-4976
(614) 507-9405
Mailing address
3530 MILLVALE AVE NE APT A, CANTON, OH 44705-4976
(614) 507-9405
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/09/2016
Last updated
10/09/2016
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