FREDERICK JACQUES HALL

SHREVEPORT, LA
NPI1154693968
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213ES0131X 
(Licence: GA  POD000612)
Additional Taxonomies213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: GA  POD000612)
Enumeration Date2012-02-08
Last Update Date2012-02-08
Business Address
Dr. FREDERICK JACQUES HALL D.P.M.
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 678-640-5685
Mailing Address
Dr. FREDERICK JACQUES HALL D.P.M.
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 678-640-5685
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