| Doctor Name: | MISS ELIZABETH MAE HOLLO |
| NPI Number: | 1306132121 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA21620 |
| Business Practice Address: | 7967 Broadway Lemon Grove, CA - 919451809 |
| Business Phone Number: | 6197417423 |
| Business Fax Number: | 6197132589 |
| Mailing Address: | 4060 Fairmount Ave, SAN DIEGO |
| State: | CA |
| Postal Code: | 921051608 |
| Phone Number: | 6192804213 |
| Fax Number: | 6192803545 |
| NPI Enumeration Date: | 06/20/2011 |
| NPI Last Update Date: | 12/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA21620 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |