Individual
MS. SUELYN MARY ANHALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 784-2140
Mailing address
1644 SEQUOIA ST, NAPA, CA 94558-2320
(707) 258-8327
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
380169
CA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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