Individual
MRS. IDIAN DAMARA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 C AVE BLDG 8204, FORT GREGG ADAMS, VA 23801-1717
(804) 734-9212
Mailing address
2601 C AVE BLDG 8204, FORT GREGG ADAMS, VA 23801-1717
(804) 734-9212
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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