Individual
L.V. HALL JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
USS SAMUEL B. ROBERTS (FFG 58), FPO AA, MAYPORT, FL 34092-1512
(904) 270-6230
Mailing address
USS SAMUEL B. ROBERTS (FFG 58), FPO AA, MAYPORT, FL 34092-1512
(904) 270-6230
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/10/2006
Last updated
07/08/2007
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