Individual
TAMMY Y HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 LUCKEY ST, ROCHESTER, NY 14613-1314
(609) 536-0478
Mailing address
2 LUCKEY ST, ROCHESTER, NY 14613-1314
(609) 536-0478
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
26NP06464500
NJ
164X00000X
Licensed Vocational Nurse
Primary
345133
NY
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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