Individual
ANDREA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19631 PARTHENIA ST, NORTHRIDGE, CA 91324-3408
(323) 473-2226
Mailing address
11123 LEMOLI AVE, INGLEWOOD, CA 90303-2320
(323) 473-2226
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
L9619
CA
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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