Provider Demographics
NPI:1265554679
Name:HO, SHIRLEY P (MS)
Entity type:Individual
Prefix:MISS
First Name:SHIRLEY
Middle Name:P
Last Name:HO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
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Mailing Address - Street 1:1910 E 20TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-4127
Mailing Address - Country:US
Mailing Address - Phone:510-536-4685
Mailing Address - Fax:510-337-1871
Practice Address - Street 1:1236 PARK ST
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-5212
Practice Address - Country:US
Practice Address - Phone:510-337-1871
Practice Address - Fax:510-337-1871
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 8617171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist