Individual
ASHLEY KRYSTEN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 CALIFORNIA ST, EUREKA, CA 95501-1621
(707) 443-8322
Mailing address
471 6TH AVE, TRINIDAD, CA 95570-9725
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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