Individual
SHYNEA LYNN HOLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 SPRUCE ST, 9TH FL, PHILADELPHIA, PA 19106-6130
(267) 441-0149
Mailing address
800 SPRUCE ST, 9TH FL, PHILADELPHIA, PA 19106-6130
(267) 441-0149
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA059616
PA
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
10/17/2016
Last updated
12/19/2017
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