Individual
KAREN JEAN HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2385 S. MELROSE DR, VISTA, CA 92081
(760) 300-3647
(760) 482-1316
Mailing address
2385 S. MELROSE DRIVE, VISTA, CA 92081
(760) 300-3647
(760) 482-1316
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2007010595
MO
208600000X
Surgery Physician
Primary
G88851
CA
208600000X
Surgery Physician
MD00044306
WA
208D00000X
General Practice Physician
G88851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204463103
—
MO
Enumeration date
04/10/2006
Last updated
07/20/2015
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