Individual
MARLESIA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 TEAL DR, EASLEY, SC 29642
(864) 986-5351
Mailing address
106 TEAL DR, EASLEY, SC 29642-9129
(864) 986-5351
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
51795
SC
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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