Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEASA HOLLY
Active Sole ProprietorDEASA HOLLY is a Exclusive Provider Organization healthcare provider located in CINCINNATI, Ohio. NPI 1376091629 is currently active in the NPPES registry. Verify at CMS.
Exclusive Provider Organization · CINCINNATI, OH
Registration Details
- NPI Number
- 1376091629
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 15, 2016 (9.9304523253889 yrs)
- Last Updated
- Sep 15, 2016
- License
-
302F00000X (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2473 TIMBERCROFT CTCINCINNATI, OH, 452396614Browse OH providers · Browse ZIP 45239
- Phone
- 5136803371
- Primary Specialty
-
Exclusive Provider Organization
302F00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.