Individual
BREYANNA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6771 STANHOPE WAY, INDIANAPOLIS, IN 46254-9570
(317) 209-7564
(317) 377-4139
Mailing address
6771 STANHOPE WAY, INDIANAPOLIS, IN 46254-9570
(317) 209-7564
(317) 377-4139
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300031995
—
IN
Enumeration date
12/17/2019
Last updated
12/17/2019
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