Individual
AMBER HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
955 BRUNSWICK DR, DAYTON, OH 45424-8017
(937) 760-7455
Mailing address
955 BRUNSWICK DR, DAYTON, OH 45424-8017
(937) 760-7455
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
142505
OH
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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