Individual
LISA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 KAL-OOK-WAH DRIVE, TAHOLAH, WA 98587
(360) 276-8211
Mailing address
PO BOX 219, TAHOLAH, WA 98587-0219
(360) 276-8211
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9021767
—
WA
Enumeration date
06/11/2008
Last updated
06/11/2008
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