Individual
AMAURA HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1632 E DIMONDALE DR, CARSON, CA 90746-2915
(310) 791-3064
Mailing address
4516 W 63RD ST, LOS ANGELES, CA 90043-3515
(916) 512-7763
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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