Individual
BOBBI JOAN HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19517 SE 324TH ST, KENT, WA 98042-9713
(206) 948-3636
Mailing address
19517 SE 324TH ST, KENT, WA 98042-9713
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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