Individual
AMANDA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
146 ORCHARD ST, CRANSTON, RI 02910-2819
(401) 529-7848
Mailing address
146 ORCHARD ST, CRANSTON, RI 02910-2819
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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