IndividualActive
Shelley Holt
NPI 1477090041 · Prevention Professional · San Bernardino, CA
Provider details
- NPI number
- 1477090041
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0000000 (CA)
Specialties & taxonomies
Other Service Providers
Practice location
17573 Chervil Ln
San Bernardino, CA 92407-9068
Phone: (909) 544-6482
Approximate (ZIP-level) locationGet directions
Mailing address
17573 Chervil Ln
San Bernardino, CA 92407-9068
Registry dates
- Enumerated
- 2017-01-20
- Last updated
- 2017-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.