Individual
DR. SHELLEY HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17573 CHERVIL LN, SAN BERNARDINO, CA 92407-9068
(909) 544-6482
Mailing address
17573 CHERVIL LN, SAN BERNARDINO, CA 92407-9068
(909) 544-6482
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
0000000
CA
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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