Individual
ANTHONY HALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 QUEBEC AVE, CORCORAN, CA 93212-9715
(559) 992-7100
(559) 992-7102
Mailing address
900 QUEBEC AVE, CORCORAN, CA 93212-9715
(559) 992-7100
(559) 992-7102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95004506
CA
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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