Individual
IMMANUEL HARTSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 S LOS ROBLES AVE, PASADENA, CA 91101-3266
(847) 602-6639
Mailing address
500 S LOS ROBLES AVE APT 106, PASADENA, CA 91101-3244
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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