Individual
MS. CHAUNTI HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4445 ALVIN DARK AVE APT 139, BATON ROUGE, LA 70820-3055
(907) 952-3960
Mailing address
19740 SCENIC DR, CHUGIAK, AK 99567-5942
(907) 952-3960
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2255A2300X
LA
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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