NPI 1376091629

Deasa Holly

Practitioner Exclusive Provider Organization Cincinnati, OH

Practice location

Address: 2473 Timbercroft CT, Cincinnati, OH 45239-6614
Phone: (513) 680-3371

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 302F00000X (OH)

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Registry record

NPI: 1376091629
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2016
Record last updated: 15 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.