Individual
BETHANY SARAH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3212 HASTINGS ST, MESQUITE, TX 75149-1853
(940) 257-7807
Mailing address
3212 HASTINGS ST, MESQUITE, TX 75149-1853
(940) 257-7807
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
300574
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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