TIFFANY S HALL

BLAINE, MN
NPI1205012424
Former NameTIFFANY S KALAR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  10653)
Enumeration Date2008-01-17
Last Update Date2019-01-20
Business Address
TIFFANY S HALL PA-C
1500 109TH AVE NE
BLAINE, MN 55449
Phone number: 763-421-5011
Mailing Address
TIFFANY S HALL PA-C
1500 109TH AVE NE
BLAINE, MN 55449-4670
Phone number: 763-421-5011