Individual
JESSICA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1270 KOT-NUM RD, WARM SPRINGS, OR 96641
(541) 553-6263
Mailing address
1270 KOT-NUM RD, PO BOX 1209, WARM SPRINGS, OR 96641
(541) 553-6263
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001249262
VA
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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