Individual
ANGELA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 HIGHLAND DR, SAINT CLAIR, MI 48079-4291
(810) 388-1200
Mailing address
2916 PEAVEY ST, PORT HURON, MI 48060-6987
(810) 388-1200
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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