Individual
CANSTANZE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21160 BURGUNDY WAY, APPLE VALLEY, CA 92308-5842
(760) 981-2069
Mailing address
21160 BURGUNDY WAY, APPLE VALLEY, CA 92308-5842
(760) 981-2069
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3316
CA
2355S0801X
Speech-Language Assistant
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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