Individual
KAITLIN HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
665 57TH ST, OAKLAND, CA 94609-1629
(978) 758-7424
Mailing address
665 57TH ST, OAKLAND, CA 94609-1629
(978) 758-7424
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
802021
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95001622
CA
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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