Individual
ROY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7759 W RIDGE RD, ELYRIA, OH 44035-1955
(440) 281-8414
Mailing address
PO BOX 474, ELYRIA, OH 44036-0474
(440) 281-8414
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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