WAYNE ALAN HALSTROM

NEWARK, CA
NPI1881751501
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: CA  5864TPA)
Enumeration Date2007-01-02
Last Update Date2007-07-08
Business Address
-- WAYNE ALAN HALSTROM O.D.
1123 NEWPARK MALL
NEWARK, CA 94560-5246
Phone number: 510-791-2020
Mailing Address
-- WAYNE ALAN HALSTROM O.D.
35 MACKENZIE PL
DANVILLE, CA 94526-2919
Phone number: 925-820-5078