Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 10534 | NC |
NPI | 1477973444 |
---|---|
Provider Name | Kashif Ru-Shon Ju-Juan Hall |
First Address | Greensboro, NC 27401-1863 |
Second Address | Greensboro, NC 27401-1863 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2014 |
Last Update Date | 27/10/2016 |