Provider Demographics
NPI:1487070629
Name:HALL, DANIELE D
Entity type:Individual
Prefix:
First Name:DANIELE
Middle Name:D
Last Name:HALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3244 BRISA CT
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-7436
Mailing Address - Country:US
Mailing Address - Phone:775-232-4905
Mailing Address - Fax:
Practice Address - Street 1:10335 N CHEMEHLEVI DR
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-8113
Practice Address - Country:US
Practice Address - Phone:775-232-4905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-12
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care