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Individual

RYAN HANSELMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
435 N MCDOWELL BLVD, PETALUMA, CA 94954-2339
(707) 863-0228
Mailing address
2502 MARYLYN CIR, PETALUMA, CA 94954-5823
(707) 919-9094
(707) 919-9094

Taxonomy

Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
L10106
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L10106
BARBERCOSMO.CA.GOV
CA
Enumeration date
01/05/2026
Last updated
01/05/2026
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