Individual
VICTORIA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1518 BISHOP RD SW, TUMWATER, WA 98512-7354
(360) 923-5588
(360) 915-9815
Mailing address
1518 BISHOP RD SW, TUMWATER, WA 98512-7354
(360) 923-5588
(360) 915-9815
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60422586
WA
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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