Individual
CHRISTINA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11760 CAMINITO TAMBORREL, SAN DIEGO, CA 92131-2101
(858) 740-8066
Mailing address
11760 CAMINITO TAMBORREL, SAN DIEGO, CA 92131-2101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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