Individual
MS. MONIQUE LOUISE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14004 BALLANTRAE DR, GRANDVIEW, MO 64030-4027
(816) 694-7240
Mailing address
14004 BALLANTRAE DR, GRANDVIEW, MO 64030-4027
(816) 694-7240
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2023022410
MO
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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