Individual
HALE MEDEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6991 BALBOA AVE RM 70, SAN DIEGO, CA 92111-3447
(858) 496-8232
(858) 496-8234
Mailing address
6991 BALBOA AVE RM 70, SAN DIEGO, CA 92111-3447
(858) 496-8232
(858) 496-8234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95093487
CA
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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