Individual
ANGELA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 LAMOILLE HWY STE 103, ELKO, NV 89801-4397
(775) 777-1292
Mailing address
PO BOX 907, PANACA, NV 89042-0907
(801) 687-0544
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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