Individual
JENNIFER KAITLYN HALAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 W COLLEGE AVENUE, BOILING SPRINGS, NC 28017
(704) 406-4000
Mailing address
299 ENOS DR, LEXINGTON, NC 27295-6655
(302) 632-6716
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NC
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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