Most Relevant Information
Provider Data
| NPI Number: | 1003523101 |
| Provider Name: | DEANA DEMARE HALLY |
| Entity Type: | Individual |
| Taxonomy Code: | 171400000X |
| Specialty: | Health & Wellness Coach |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/31/2022 |
| Last Updated: | 10/31/2022 |
Provider Practice Location
5945 INNISVALE DR
FAIRFAX STATION
VA
220391107
Practice Location Phone/Fax
| Phone: | 7034015745 |
| Fax: |
Provider Mailing Location
5945 INNISVALE DR
FAIRFAX STATION
VA
220391107
Provider Mailing Phone/Fax
| Phone: | 7034015745 |
| Fax: |