Provider Demographics
NPI:1477887297
Name:HOLLINGTON, MICHELLE DOROTHY
Entity Type:Individual
Prefix:MISS
First Name:MICHELLE
Middle Name:DOROTHY
Last Name:HOLLINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SWARN
Other - Middle Name:
Other - Last Name:HOLLINGTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:621 KEATS CT
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-4732
Mailing Address - Country:US
Mailing Address - Phone:650-561-4280
Mailing Address - Fax:
Practice Address - Street 1:1950 ALAMEDA DE LAS PULGAS
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-1222
Practice Address - Country:US
Practice Address - Phone:650-573-2895
Practice Address - Fax:650-349-0476
Is Sole Proprietor?:No
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program