Individual
ANNELIE JEANETTE HALLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
1308 FRANKLIN ST APT C, SANTA MONICA, CA 90404-2674
(310) 367-6854
Mailing address
1308 FRANKLIN ST APT C, SANTA MONICA, CA 90404-2674
(310) 367-6854
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC17715
CA
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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