Individual
ELIZABETH HALSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23968 DANIEL BOONE PKWY, PEYTONA, WV 25154
(304) 369-4308
Mailing address
23968 DANIEL BOONE PKWY, PEYTONA, WV 25154
(304) 369-4308
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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