Individual
MRS. STEFANI LEORA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1393 BAILEY ST, HANFORD, CA 93230-5922
(559) 639-2079
(559) 582-6547
Mailing address
1393 BAILEY ST, HANFORD, CA 93230-5922
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
LPT34655
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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