Individual
TERISA MARIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDI-CAL CPSS, RADT
Contact information
Practice address
3286 E GUASTI RD STE 100, ONTARIO, CA 91761-8646
(909) 476-2023
(855) 702-2557
Mailing address
3286 E GUASTI RD STE 100, ONTARIO, CA 91761-8646
(909) 476-2023
(855) 702-2557
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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