Provider Demographics
NPI:1437104247
Name:SUNDERLAND, HOLLACE CHRISTINE (RD)
Entity type:Individual
Prefix:
First Name:HOLLACE
Middle Name:CHRISTINE
Last Name:SUNDERLAND
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2268 10TH ST
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-3133
Mailing Address - Country:US
Mailing Address - Phone:330-376-7600
Mailing Address - Fax:330-376-4757
Practice Address - Street 1:199 PERKINS ST
Practice Address - Street 2:AKRON EAST KIDNEY CENTER CKD SERVICES
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304
Practice Address - Country:US
Practice Address - Phone:330-376-7600
Practice Address - Fax:330-376-4754
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD3373133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal