Provider Demographics
NPI:1972354397
Name:HO, EMILY VOLENA
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:VOLENA
Last Name:HO
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 1:9227 LAKE CANYON RD
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-1051
Mailing Address - Country:US
Mailing Address - Phone:217-621-2126
Mailing Address - Fax:
Practice Address - Street 1:9227 LAKE CANYON RD
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-1051
Practice Address - Country:US
Practice Address - Phone:217-621-2126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program