Individual
CALEB R HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4194
(702) 388-8436
Mailing address
PO BOX 423, ALAMO, NV 89001-0423
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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