Individual
MRS. SHELLIE HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 LEE ST APT B, LEESBURG, FL 34748-4339
(850) 255-0621
Mailing address
706 LEE ST APT B, LEESBURG, FL 34748-4339
(850) 255-0621
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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