JUDITH HALLSTROM

MACCLENNY, FL
NPI1790892917
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: FL  ME 45244)
Enumeration Date2006-08-24
Last Update Date2007-07-08
Business Address
Dr. JUDITH HALLSTROM M.D.
7487 S STATE ROAD 121
MACCLENNY, FL 32063-5451
Phone number: 904-259-6211
Mailing Address
Dr. JUDITH HALLSTROM M.D.
7487 S STATE ROAD 121
MACCLENNY, FL 32063-5451
Phone number: 904-259-6211