Individual
MISS ELIZABETH MAE HOLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7967 BROADWAY, LEMON GROVE, CA 91945-1809
(619) 741-7423
(619) 713-2589
Mailing address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 280-4213
(619) 280-3545
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21620
CA
Other
Enumeration date
06/20/2011
Last updated
12/29/2011
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