Provider Demographics
NPI:1548935521
Name:HALL, VICTORIA HARRIET
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:HARRIET
Last Name:HALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3937 S ST SE APT A6
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-1009
Mailing Address - Country:US
Mailing Address - Phone:202-491-4433
Mailing Address - Fax:
Practice Address - Street 1:1345 S CAPITOL ST SW APT 704
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3586
Practice Address - Country:US
Practice Address - Phone:202-554-0792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care