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Individual

MS. KENDRA JANELLE HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MEDICAL AESTHETICIAN

Contact information

Practice address
1100 JOHNSON FERRY RD NE, SUITE 105, ATLANTA, GA 30342-1709
(404) 953-4023
(678) 904-2196
Mailing address
1100 JOHNSON FERRY RD NE, SUITE 105, ATLANTA, GA 30342-1709
(404) 953-4023
(678) 904-2196

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ES003112
GA

Other

Enumeration date
10/08/2012
Last updated
10/08/2012
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