Individual
AMITY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
875 BLAKE WILBUR, STANFORD, CA 94305-5820
(650) 736-2066
(650) 736-0220
Mailing address
875 BLAKE WILBUR DRIVE, STANFORD, CA 94305-5820
(650) 736-2066
(650) 736-0220
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19463
CA
Other
Enumeration date
11/12/2007
Last updated
04/15/2010
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