Provider Demographics
NPI:1679902043
Name:HALL, FRANCES MAE (LVN)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:MAE
Last Name:HALL
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26748 ISABELLA PKWY APT 202
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91351-5240
Mailing Address - Country:US
Mailing Address - Phone:661-476-2922
Mailing Address - Fax:
Practice Address - Street 1:26748 ISABELLA PKWY APT 202
Practice Address - Street 2:
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91351-5240
Practice Address - Country:US
Practice Address - Phone:661-476-2922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA275260164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse