Individual
HANA MARIE VANDER GALIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 LAKE SUSAN HILLS DR, CHANHASSEN, MN 55317-8709
(952) 200-0303
Mailing address
840 LAKE SUSAN HILLS DR, CHANHASSEN, MN 55317-8709
(952) 200-0303
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/29/2017
Last updated
10/29/2017
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