Individual
JESSICA HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MS
Contact information
Practice address
428 5TH ST, MONTARA, CA 94037
(415) 310-1754
Mailing address
428 5TH STREET, BOX 585, MONTARA, CA 94037
(415) 310-1754
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
653337
CA
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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