NATHAN HALLAM

MODESTO, CA
NPI1720831258
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  64617)
Enumeration Date2024-04-05
Last Update Date2024-10-30
Business Address
NATHAN HALLAM PA
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-569-7408
Mailing Address
NATHAN HALLAM PA
PO BOX 255228
SACRAMENTO, CA 95865-5228
Phone number:
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