Individual
MISS LANE HAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
5030 BUSINESS CENTER DR STE 245, FAIRFIELD, CA 94534-6909
(707) 681-0373
Mailing address
124 KINGSLAND CT, VACAVILLE, CA 95687-6221
(707) 971-0832
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6202
CA
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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