Individual
TEQUILA R HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3680 N RANCHO DR, LAS VEGAS, NV 89130-3180
(702) 646-5437
Mailing address
3680 N RANCHO DR, LAS VEGAS, NV 89130-3180
(702) 646-5437
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NV
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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