Individual
ANGELA HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 WEEOT WAY, ARCATA, CA 95521-4734
(707) 825-5000
Mailing address
1600 WEEOT WAY, ARCATA, CA 95521-4734
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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