Individual
TRISTAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
876 SE 46TH LOOP, KEYSTONE HEIGHTS, FL 32656-6264
(352) 538-9135
Mailing address
876 SE 46TH LOOP, KEYSTONE HEIGHTS, FL 32656-6264
(352) 538-9135
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5208864
FL
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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