Individual
LORAINE-DALE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 9TH ST STE A, DEL MAR, CA 92014-2805
(858) 356-9943
Mailing address
318 9TH ST STE A, DEL MAR, CA 92014-2805
(858) 356-9943
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
Z15862
CA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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