Individual
BEANIE HALLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N3758 COUNTY ROAD G, WAUTOMA, WI 54982-7843
(224) 254-0456
Mailing address
E1494 MAIN ST, WAUPACA, WI 54981-9761
(224) 254-0456
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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