Individual
MR. CHARLES PAUL HASTINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Contact information
Practice address
4368 LINCOLN AVE, ATTENTION NURSING OFFICE, OAKLAND, CA 94602-2529
(510) 485-7133
(866) 290-5239
Mailing address
5851 VALLEJO ST APT D, EMERYVILLE, CA 94608-2636
(510) 652-3708
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT26243
CA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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