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Stacy Hall
NPI 1457769507 · on the registry since 2014
Practice
- Address
- 34111 Wildwood Canyon Rd
#70
Yucaipa, CA 92399 - Phone
- (909) 553-2244
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California