CHAD DERICK HALL

LONG NECK, DE
NPI1992932552
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: DE  J2-0000674)
Enumeration Date2009-06-22
Last Update Date2009-09-28
Business Address
-- CHAD DERICK HALL PTA
26396 BAY FARM RD BACK BAY PARK CENTER
LONG NECK, DE 19966-4993
Phone number: 302-947-9662
Mailing Address
-- CHAD DERICK HALL PTA
2 W 10TH ST
MARCUS HOOK, PA 19061-4513
Phone number: 610-859-8850