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Melissa Marie Holland, LPN

Licensed Practical Nurse in Ashtabula, OH. Individual provider (NPI-1).

NPI number1801346366
StatusActive
Last updated in NPPESAug 28, 2018

Details

NPI
1801346366
Entity type
Individual (NPI-1)
Name
Melissa Marie Holland
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 9, 2016
Last updated
Aug 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseLPN.169210.MEDS-IVOHYes
374U00000X Home Health Aide––

Practice location

2124 W Prospect Rd
Ashtabula, OH 44004

Phone 704-685-3920

Mailing address

2124 W Prospect Rd
Ashtabula, OH 44004-6440

Phone 704-685-3920

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