TOMMIE KEITH HALL

MODESTO, CA
NPI1003606914
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-05-12
Last Update Date2025-05-12
Business Address
TOMMIE KEITH HALL
727 18TH ST
MODESTO, CA 95354-1210
Phone number: 209-569-0373
Mailing Address
TOMMIE KEITH HALL
727 18TH ST
MODESTO, CA 95354-1210
Phone number: