Individual
TONYA DELENE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 412-4478
(623) 412-4484
Mailing address
12939 W PERSHING ST, EL MIRAGE, AZ 85335-6364
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN102744
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
623456
—
AZ
Enumeration date
03/30/2007
Last updated
07/09/2007
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