IndividualActive
Deasa Holly
NPI 1376091629 · Exclusive Provider Organization · Cincinnati, OH
Provider details
- NPI number
- 1376091629
- Entity type
- Individual
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Sex
- Female
- Sole proprietor
- Yes
- License
- 302F00000X (OH)
Mailing address
2473 Timbercroft Ct
Cincinnati, OH 45239-6614
Registry dates
- Enumerated
- 2016-09-15
- Last updated
- 2016-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.