Individual
MARGUERITE LOUISE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Contact information
Practice address
21706 4TH AVE SE, BOTHELL, WA 98021-8247
(206) 276-3891
Mailing address
21706 4TH AVE SE, BOTHELL, WA 98021-8247
(206) 276-3891
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00012063
WA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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