Individual
KHADAIJAH RASHEA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2445 WILLIAMSBRIDGE RD APT 5E, BRONX, NY 10469-4856
(929) 289-9885
Mailing address
2445 WILLIAMSBRIDGE RD APT 5E, BRONX, NY 10469-4856
(929) 289-9885
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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