Individual
ASPEN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9719 LINCOLN VILLAGE DR, 300, SACRAMENTO, CA 95827-3303
(916) 485-4175
(916) 480-2241
Mailing address
9719 LINCOLN VILLAGE DR, 300, SACRAMENTO, CA 95827-3303
(916) 485-4175
(916) 480-2241
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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