Individual
CAROLYN SUE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 JAMIE LN, BRENHAM, TX 77833-1910
(979) 451-9226
Mailing address
2600 JAMIE LN, BRENHAM, TX 77833-1910
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
082352
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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