Individual
OPHELIA ANASTASIA HALSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9343 TECH CENTER DR STE 200, SACRAMENTO, CA 95826-2592
(707) 307-3348
Mailing address
9343 TECH CENTER DR STE 200, SACRAMENTO, CA 95826-2592
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-USGLJT
CA
Other
Enumeration date
07/19/2023
Last updated
12/18/2024
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