Individual
MS. REBECCA A HALSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
155 W HARVARD ST, SUITE 302, FORT COLLINS, CO 80525-5200
(970) 377-9554
Mailing address
155 W HARVARD ST, SUITE 302, FORT COLLINS, CO 80525-5200
(970) 377-9554
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
202041
CO
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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