Individual
ALLIE RAE HALSOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6510 OERSTED RD NE, RIO RANCHO, NM 87144-6562
(505) 610-1950
Mailing address
6510 OERSTED RD NE, RIO RANCHO, NM 87144-6562
(505) 610-1950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NM
Other
Enumeration date
07/06/2022
Last updated
04/08/2024
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