Individual
ELIZABETH HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
33403 CORTE MANGARINO, TEMECULA, CA 92592-9448
(951) 514-6286
Mailing address
33403 CORTE MANGARINO, TEMECULA, CA 92592-9448
(951) 514-6286
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
719075
CA
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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