Individual
MS. HANNAH HAGEMAN LICARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1450 SAN PABLO ST STE 5400, LOS ANGELES, CA 90033-5331
(323) 442-5860
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA55139
CA
Other
Enumeration date
10/09/2015
Last updated
08/26/2021
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