Individual
ANGELA HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92350-1716
(909) 558-7127
Mailing address
7755 E EDISON ST, TUCSON, AZ 85715-4252
(530) 304-6129
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
09/19/2024
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