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Individual

JANELL STEPHANIE HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5333 MISSION CENTER RD STE 105, SAN DIEGO, CA 92108-1347
(619) 997-4510
(619) 984-5440
Mailing address
3015 CLAY AVE # 2, SAN DIEGO, CA 92113-1410
(619) 804-7320

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
175T00000X
Peer Specialist
Primary
MPSS-KOGNFD
CA

Other

Enumeration date
04/04/2023
Last updated
04/15/2024
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