Individual
TRINITY OSEA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
558 LIBERTY WAY, STOCKTON, CA 95207-8912
(209) 840-1409
Mailing address
558 LIBERTY WAY, STOCKTON, CA 95207-8912
(209) 840-1409
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
1713687251-25666
CA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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