Individual
SIERRA HAKANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HARRISON PLZ, FLORENCE, AL 35632-0002
(256) 765-5020
Mailing address
77836 MOSBY CREEK RD, COTTAGE GROVE, OR 97424-9446
(541) 915-8099
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2461
AL
2255A2300X
Athletic Trainer
AT-AT-10201714
OR
2255A2300X
Athletic Trainer
ATR-009176
AZ
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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