Individual
MELISSA DALE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2155 OLD MOULTRIE RD, 107, ST AUGUSTINE, FL 32086-5102
(904) 501-5974
Mailing address
2945 KINGS RD, LOT B, ST AUGUSTINE, FL 32086-5467
(904) 501-5974
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA22809
FL
Other
Enumeration date
03/20/2007
Last updated
07/09/2007
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