Individual
SHIALA HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16-2041 ANTHURIUM DR, PAHOA, HI 96778-7738
(510) 701-6466
Mailing address
16-2041 ANTHURIUM DR, PAHOA, HI 96778-7738
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
RBT-21-162763
HI
Other
Enumeration date
07/31/2021
Last updated
07/31/2021
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