Individual
DOTTIE HALFAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2905 S CHANTILLY LN, SPRINGFIELD, MO 65804-3941
(417) 838-9991
Mailing address
2905 S CHANTILLY LN, SPRINGFIELD, MO 65804-3941
(417) 838-9991
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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