Individual
KRISTOFER HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6901 FRUIT FLOWER AVE, LAS VEGAS, NV 89130-1668
(805) 708-1680
Mailing address
6901 FRUIT FLOWER AVE, LAS VEGAS, NV 89130-1668
(805) 708-1680
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/09/2012
Last updated
03/15/2013
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