Individual
MRS. AMANDA GAIL HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1078
(417) 347-1079
Mailing address
13495 MOONRIDGE LN, NEOSHO, MO 64850-8520
(417) 499-3568
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2012026431
MO
Other
Enumeration date
08/01/2012
Last updated
05/16/2013
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