Individual
MS. RACHELL HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LE
Contact information
Practice address
8320 N HAYDEN RD # A106, SCOTTSDALE, AZ 85258-2474
(480) 368-9239
(480) 907-2894
Mailing address
8320 N HAYDEN RD # A106, SCOTTSDALE, AZ 85258-2474
(480) 368-9239
(480) 907-2894
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
30600012
AZ
246Z00000X
Other Specialist/Technologist
30600012
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30600012
ARIZONA STATE BOARD OF COSMETOLOGY
AZ
Enumeration date
05/06/2009
Last updated
10/03/2011
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