Individual
KATHLEEN MARIE HALAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2907 CHANTICLEER AVE, SANTA CRUZ, CA 95065-1815
(831) 477-2325
Mailing address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4635
CA
Other
Enumeration date
08/21/2006
Last updated
12/21/2011
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