Individual
MRS. IEESHA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IEESHA HALL RN
Contact information
Practice address
11501 HARTS RD APT 902, JACKSONVILLE, FL 32218-3741
(904) 520-1073
Mailing address
11501 HARTS RD APT 902, JACKSONVILLE, FL 32218-3741
(904) 520-1073
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
9551819
FL
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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