Individual
LATOSHA DIONNE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 286-6487
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 286-6487
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
2004014930
MO
Other
Enumeration date
12/23/2007
Last updated
12/23/2007
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