Individual
ETUAJIE EVELYN OIYEMHONLAN HALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2060 FAIRMONT DR, SAN LEANDRO, CA 94578-1001
(510) 346-1300
Mailing address
2060 FAIRMONT DR, SAN LEANDRO, CA 94578-1001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A22347
CA
Other
Enumeration date
03/24/2019
Last updated
09/27/2024
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