Individual
KEVIN DALE HALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
83 GLEN AVE APT A, OAKLAND, CA 94611-4944
(510) 560-6376
Mailing address
83 GLEN AVE APT A, OAKLAND, CA 94611-4944
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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