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Individual

KONTICIA B HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2403 FM 2917 RD, ALVIN, TX 77511-1733
(832) 769-1023
Mailing address
2403 FM 2917 RD, ALVIN, TX 77511-1733
(832) 769-1023

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
10/17/2012
Last updated
10/17/2012
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