| NPI | 1811730443 |
|---|---|
| Doing Business As | SHOLLY WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SHALA SHARDIL CEO 949-229-1789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-07-12 |