Individual
GAYLE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 N PILGRIM ST, STOCKTON, CA 95205-4428
(209) 466-0853
Mailing address
430 N PILGRIM ST, STOCKTON, CA 95205-4428
Taxonomy
Speciality
Code
Description
License number
State
246Y00000X
Health Information Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
MEDICAL
—
Enumeration date
01/10/2019
Last updated
01/10/2019
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