Individual
SHELBY SHOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1718 AVALON AVE, LAKE HAVASU CITY, AZ 86404-1104
(928) 733-8481
Mailing address
1718 AVALON AVE, LAKE HAVASU CITY, AZ 86404-1104
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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