Individual
PHYLLIS HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 13TH ST NE, CANTON, OH 44714-2518
(330) 937-1198
Mailing address
605 13TH ST NE, CANTON, OH 44714-2518
(330) 937-1198
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
501123690606
OH
Other
Enumeration date
02/11/2015
Last updated
02/21/2015
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