Deasa Holly
NPI #1376091629 in Cincinnati, Ohio
Provider Information
- NPI Number
- 1376091629
- Entity Type
- Individual
- Name
- Deasa Holly
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Sep 15, 2016
- Last Updated
- Sep 15, 2016
Practice Location
- Address
- 2473 TIMBERCROFT CT
- City
- Cincinnati
- State
- Ohio
- ZIP Code
- 45239-6614
- Phone
- (513) 680-3371
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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