Individual
MRS. CARLY JANE-HUSTREI HAALAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3814 AUBURN BLVD STE 72, SACRAMENTO, CA 95821-2123
(916) 426-1902
(916) 647-0156
Mailing address
3814 AUBURN BLVD STE 72, SACRAMENTO, CA 95821-2123
(916) 426-1902
(916) 647-0156
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA53947
CA
Other
Enumeration date
10/26/2016
Last updated
10/13/2021
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