Individual
MRS. MARLINA DANIELLE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPO, ABOC, NCLEC
Contact information
Practice address
1601 W REELFOOT AVE, UNION CITY, TN 38261-5554
(731) 884-0255
(731) 884-0250
Mailing address
320 KEYSTONE DR, TIPTONVILLE, TN 38079-4042
(731) 445-3313
(731) 884-0250
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1902
TN
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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