Individual
LATAJANA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 BROADWAY AVE, BUFFALO, NY 14212
(716) 896-7350
Mailing address
23 MENDOLA AVE, BUFFALO, NY 14215-2607
(716) 553-6080
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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