Individual
BRAD HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
837 JULIET AVE, SAN JOSE, CA 95127-3621
(408) 791-4791
Mailing address
837 JULIET AVE, SAN JOSE, CA 95127-3621
(408) 791-4791
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/23/2013
Last updated
10/24/2013
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