Individual
TARA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5555 DEL MAR HEIGHTS RD, SAN DIEGO, CA 92130-1368
(858) 523-4000
(858) 523-4057
Mailing address
5555 DEL MAR HEIGHTS RD, SAN DIEGO, CA 92130-1368
(858) 523-4000
(858) 523-4057
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
050602043
CA
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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