DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHELLEY HOLT

Active Sole Proprietor

DR. SHELLEY HOLT is a 405300000X healthcare provider located in SAN BERNARDINO, California. NPI 1477090041 is currently active in the NPPES registry. Verify at CMS.

405300000X · SAN BERNARDINO, CA

Registration Details

NPI Number
1477090041
Provider Type
Individual
Gender
Female
NPI Issued
Jan 20, 2017 (9.5499792808942 yrs)
Last Updated
Jan 20, 2017
License
0000000 (CA)
Sole Proprietor
Yes

Practice Information

Address
17573 CHERVIL LN
SAN BERNARDINO, CA, 924079068
Browse CA providers · Browse ZIP 92407
Phone
9095446482
Primary Specialty
405300000X
405300000X

Other 405300000X Providers in SAN BERNARDINO, CA

Name Credential NPI
VLADIMR ADAN MAZA GONZALEZ N/A 1154215077
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.