Individual
TANYA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
64 STATE ST, GASSAWAY, WV 26624-1132
(304) 364-1063
Mailing address
64 STATE ST, GASSAWAY, WV 26624-1132
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
31560
WV
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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