Individual
BAYETE CHANGAMIRE HALL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1961 RICE ST, SUITE 202, ROSEVILLE, MN 55113-6828
(651) 329-4753
Mailing address
1961 RICE ST, SUITE 202, ROSEVILLE, MN 55113-6828
(651) 329-4753
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
2008291
MN
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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