Individual
LUANA VON HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2080 SHIRLEY DR, FLORISSANT, MO 63031-5448
(314) 702-3164
Mailing address
2080 SHIRLEY DR, FLORISSANT, MO 63031-5448
(314) 702-3164
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
286500000
MO
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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