MRS. Idian Damara Hall
NPI #1366134595 in Fort Gregg Adams, Virginia
Provider Information
- NPI Number
- 1366134595
- Entity Type
- Individual
- Name
- MRS. Idian Damara Hall
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- May 25, 2023
- Last Updated
- May 25, 2023
Practice Location
- Address
- 2601 C AVE BLDG 8204
- City
- Fort Gregg Adams
- State
- Virginia
- ZIP Code
- 23801-1717
- Phone
- (804) 734-9212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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