Individual
ELLEN HUCAL O'HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
620B SUMNER ST, SANTA CRUZ, CA 95062-2535
(408) 464-9619
Mailing address
620B SUMNER ST, SANTA CRUZ, CA 95062-2535
(408) 464-9619
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA52551
CA
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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