Provider Demographics
NPI:1568885366
Name:HOLZER, CHELSEY RENE
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:RENE
Last Name:HOLZER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 E PALMDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-4750
Mailing Address - Country:US
Mailing Address - Phone:661-208-4699
Mailing Address - Fax:661-208-4761
Practice Address - Street 1:1050 E PALMDALE BLVD
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-4750
Practice Address - Country:US
Practice Address - Phone:661-208-4699
Practice Address - Fax:661-208-4761
Is Sole Proprietor?:No
Enumeration Date:2014-01-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator