Individual
MELINDA JANICE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 N LUKE LOOP, NAMPA, ID 83651-5185
(208) 697-8900
Mailing address
54 N LUKE LOOP, NAMPA, ID 83651-5185
(208) 697-8900
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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