Individual
LAINAH HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2439 CEDAR WEST DR, JENISON, MI 49428-9492
(616) 443-2162
Mailing address
2439 CEDAR WEST DR, JENISON, MI 49428-9492
(616) 443-2162
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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