Individual
TINA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
248 N MEDINA ST APT 1, MEDINA, OH 44256-1891
(330) 573-8236
Mailing address
248 N MEDINA ST APT 1, MEDINA, OH 44256-1891
(330) 573-8236
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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