Individual
HALLE RAE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
1101 MEDICAL CENTER BLVD, MARRERO, LA 70072-3147
(504) 349-2410
Mailing address
361 COTUIT BAY DR, COTUIT, MA 02635-2910
(774) 327-0240
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
339198
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/09/2022
Last updated
11/07/2023
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