Provider Demographics
NPI:1326830373
Name:STANLEY, SHILO HOPE MELEANA (CMT)
Entity type:Individual
Prefix:
First Name:SHILO HOPE
Middle Name:MELEANA
Last Name:STANLEY
Suffix:
Gender:X
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5855 KINGS VIEW CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92114-4133
Mailing Address - Country:US
Mailing Address - Phone:808-799-4392
Mailing Address - Fax:
Practice Address - Street 1:100 W 35TH ST STE H
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-7925
Practice Address - Country:US
Practice Address - Phone:808-799-4392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-17
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA98743225700000X
HIY4Y2D5E5246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy