Individual
MISS TERESA A HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8777 BROADWAY, MERRILLVILLE, IN 46410-7035
(219) 712-6253
Mailing address
PO BOX 906, SCHERERVILLE, IN 46375-0906
(219) 712-6253
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164003616
IL
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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