Individual
MR. BRANDON A HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 JASMINE LN, WESTWEGO, LA 70094-2255
(504) 644-6200
Mailing address
18 JASMINE LN, WESTWEGO, LA 70094-2255
(504) 644-6200
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
007375724
LA
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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