Individual
COLISSA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 W GILLESPIE ST, STARKVILLE, MS 39759-3207
(662) 418-5324
(662) 615-6161
Mailing address
215 W GILLESPIE ST, STARKVILLE, MS 39759-3207
(662) 418-5324
(662) 615-6161
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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