Individual
LAURA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3195 WIEDRICK RD, WALWORTH, NY 14568-9600
(315) 986-3521
(315) 986-0614
Mailing address
3195 WIEDRICK RD, WALWORTH, NY 14568-9600
(315) 986-3521
(315) 986-0614
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
688646
NY
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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