Individual
JENNEY LOUISE-K HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 W VISTA WAY STE 204, VISTA, CA 92083-5736
(760) 305-4800
Mailing address
9808 VENICE BLVD, CULVER CITY, CA 90232-2732
(310) 943-3350
(310) 945-3356
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
821664
CA
Other
Enumeration date
09/28/2020
Last updated
08/18/2021
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