Individual
CHARLES EDWARD HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
25611 98TH AVE S APT G306, KENT, WA 98030-6396
(408) 772-7327
Mailing address
25611 98TH AVE S APT G306, KENT, WA 98030-6396
(408) 772-7327
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP.61123714
WA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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