Individual
MS. MARYANNE ELIZABETH O'HALLORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RN, CNS
Contact information
Practice address
965 E YOSEMITE AVE, #18, MANTECA, CA 95336-5938
(209) 545-9701
(209) 824-7264
Mailing address
4204 MEADOW BROOK LN, SALIDA, CA 95368-9729
(209) 545-9701
(209) 239-4011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
260281
CA
364S00000X
Clinical Nurse Specialist
Primary
1124
CA
Other
Enumeration date
08/07/2006
Last updated
02/20/2017
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