Provider Demographics
NPI:1801212717
Name:TRIEF, HOLLY (VMD)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:TRIEF
Suffix:
Gender:F
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 COAST HWY
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-3025
Mailing Address - Country:US
Mailing Address - Phone:650-359-3685
Mailing Address - Fax:
Practice Address - Street 1:4300 COAST HWY
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-3025
Practice Address - Country:US
Practice Address - Phone:650-359-3685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-16
Last Update Date:2014-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11586174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian