Individual
BILLIE JO HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 S ROBERTS ST STE 400, WASILLA, AK 99654-8206
(907) 373-3953
(907) 373-3983
Mailing address
850 S ROBERTS ST STE 400, WASILLA, AK 99654-8206
(907) 373-3953
(907) 373-3983
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
1624210
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1624210
—
AK
Enumeration date
12/06/2018
Last updated
12/06/2018
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