AMITY HALL

STANFORD, CA
NPI1164602793
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA19463)
Enumeration Date2007-11-12
Last Update Date2010-04-15
Business Address
-- AMITY HALL PA
875 BLAKE WILBUR
STANFORD, CA 94305-5820
Phone number: 650-736-2066
Mailing Address
-- AMITY HALL PA
875 BLAKE WILBUR DRIVE
STANFORD, CA 94305-5820
Phone number: 650-736-2066
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