Individual
MS. SHANICE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 KNUTH RD STE 212, BOYNTON BEACH, FL 33436-4636
(561) 279-3132
Mailing address
200 KNUTH RD STE 212, BOYNTON BEACH, FL 33436-4636
(561) 279-3132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9464176
FL
163WA2000X
Administrator Registered Nurse
Primary
9464176
FL
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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