Individual
MRS. DANIELLE AUTUMN HALBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1617 LARKSPUR LOOP, EUGENE, OR 97401-7267
(541) 285-8397
Mailing address
1617 LARKSPUR LOOP, EUGENE, OR 97401-7267
(541) 285-8397
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
201242432RN
OR
Other
Enumeration date
08/28/2012
Last updated
09/04/2012
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