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Individual
VANESSA MARTINEZ HALL
Active
Individual
VANESSA MARTINEZ HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014022
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95014022
NURSE PRACTITIONER
CA
01
—
95076133
RN LICENCE
CA
Enumeration date
02/25/2020
Last updated
02/25/2020
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