Individual
CASSANDRA STEPHANIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33279 PENNSYLVANIA AVE, RIDGE MANOR, FL 33523-9041
(352) 346-8029
(866) 675-6298
Mailing address
33279 PENNSYLVANIA AVE, RIDGE MANOR, FL 33523-9041
(352) 346-8029
(866) 675-6298
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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