Most Relevant Information
Provider Data
| NPI Number: | 1003691841 |
| Provider Name: | ROSEANNA LEAH HOLLO BCND |
| Entity Type: | Individual |
| Taxonomy Code: | 171400000X |
| Specialty: | Health & Wellness Coach |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/29/2023 |
| Last Updated: | 08/29/2023 |
Provider Practice Location
105 WESTFIELD AVE
DEFIANCE
OH
435121433
Practice Location Phone/Fax
| Phone: | 4192392113 |
| Fax: |
Provider Mailing Location
105 WESTFIELD AVE
DEFIANCE
OH
435121433
Provider Mailing Phone/Fax
| Phone: | 4192396653 |
| Fax: |