Individual
RAQUEL TANZSWA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
238 BROOKLEY AVE SW BLDG 1300, BOLLING AFB, DC 20032-7704
(202) 404-3906
Mailing address
238 BROOKLEY AVE SW BLDG 1300, BOLLING AFB, DC 20032-7704
(202) 767-7839
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
02/06/2024
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