Most Relevant Information
Provider Data
| NPI Number: | 1003699083 |
| Provider Name: | STEPHANIE JANICE HOLLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0809X |
| Specialty: | Registered Nurse |
| License Number: | RN95304279 |
Most Important Dates
| Enumeration Date: | 08/15/2023 |
| Last Updated: | 08/15/2023 |
Provider Practice Location
3853 ROSECRANS ST
SAN DIEGO
CA
921103115
Practice Location Phone/Fax
| Phone: | 6196928232 |
| Fax: |
Provider Mailing Location
3853 ROSECRANS ST
SAN DIEGO
CA
921103115
Provider Mailing Phone/Fax
| Phone: | 6196928232 |
| Fax: |