Individual
MISS AMBER MICHELLE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-1765
(573) 596-4900
Mailing address
207 S ELLEN ST, DIXON, MO 65459-6207
(573) 855-5067
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2001026461
MO
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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