Individual
HALLIE LYNN STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
675 PANTHER DRIVE, SANTA MARIA, CA 93455
(805) 922-1305
Mailing address
1417 ORCHID ST, LOMPOC, CA 93436-2908
(805) 717-9701
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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