Individual
VALAIDA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 VAN WAGONER AVE, CLIFTON, NJ 07013-1527
(973) 684-4075
Mailing address
27 VAN WAGONER AVE, CLIFTON, NJ 07013-1527
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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