Individual
MRS. JOHNETTA RENEE HALL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
915 ANN ST, NEW IBERIA, LA 70560-5676
(337) 256-5732
(337) 256-5732
Mailing address
PO BOX 10844, NEW IBERIA, LA 70562-0844
(337) 256-5732
(337) 256-5732
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
9658742
LA
Other
Enumeration date
01/13/2006
Last updated
07/08/2007
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