Individual
STEPHANIE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
18056 WIKA RD STE B, APPLE VALLEY, CA 92307-2194
(760) 813-3699
Mailing address
18161 REDDING ST, HESPERIA, CA 92345-7162
(760) 680-8660
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
236310
CA
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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