Individual
KIMBERLY LYNN HALLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 YULUPA AVE, SANTA ROSA, CA 95405-7721
(707) 528-7200
Mailing address
1700 YULUPA AVE, SANTA ROSA, CA 95405-7721
(707) 528-7200
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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