Individual
JUSTINE HALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
590 PUTNAM AVE, PORTERVILLE, CA 93257
(559) 781-3700
Mailing address
1711 W HENDERSON AVE, #93, PORTERVILLE, CA 93257-1588
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95005059
CA
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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