Individual
JOHN RANDALL HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 DON PASQUAL RD NW, LOS LUNAS, NM 87031-8841
(505) 865-4618
Mailing address
145 DON PASQUAL RD NW, LOS LUNAS, NM 87031-8841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-12109
NM
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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