Individual
MRS. MARY B HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
507 BROOKS AVE, SAN JOSE, CA 95125-1620
(408) 627-1342
Mailing address
507 BROOKS AVE, SAN JOSE, CA 95125-1620
(408) 627-1342
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86087700
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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