Individual
SPENCER HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11520 S 39TH ST APT 19, BELLEVUE, NE 68123-1279
(712) 790-6173
Mailing address
2313 SKYLINE DR, CARROLL, IA 51401-3462
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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