SHAKORA HOLT

SAN LUIS OBISPO, CA
NPI1689130288
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  34742)
Enumeration Date2019-02-19
Last Update Date2019-03-06
Business Address
SHAKORA HOLT LPT
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
Mailing Address
SHAKORA HOLT LPT
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-540-6500