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Individual

ELYSIA HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
135 GOLD STAR BLVD, WORCESTER, MA 01606-2738
(855) 496-8462
Mailing address
2920 MAPLE AVE, MANHATTAN BEACH, CA 90266
(310) 344-2073

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/05/2023
Last updated
06/05/2023
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