Individual
TASHIRA MONE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2820 KIDD RD, RALEIGH, NC 27610-1842
(919) 231-8315
Mailing address
4420 BARTHOLOMEW CIR, RALEIGH, NC 27604-4784
(919) 946-2294
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
77347
NC
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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