Individual
JULIE KIET HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1693 LEE RD, WINTER PARK, FL 32789-2260
(407) 622-5766
(407) 622-5767
Mailing address
5365 W ATLANTIC AVE STE 504, DELRAY BEACH, FL 33484-8194
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105034
FL
Other
Enumeration date
07/23/2009
Last updated
05/04/2012
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