Individual
GLADYS HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8500 BROADWAY, MERRILLVILLE, IN 46410-7055
(219) 769-7710
Mailing address
8500 BROADWAY, MERRILLVILLE, IN 46410-7055
(219) 769-7710
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27073199A
IN
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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