Individual
MARIO HULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 GEORGE KERSH DR APT B, PEARL, MS 39208-9102
(601) 541-0103
Mailing address
715 GEORGE KERSH DR APT B, PEARL, MS 39208-9102
(601) 526-1464
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/26/2021
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