Individual
DR. BRANT DAIN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D,C,
Contact information
Practice address
885 OLIVE AVE, SUITE B, NOVATO, CA 94945-2420
(415) 892-6399
Mailing address
2905 TOPAZ DR, NOVATO, CA 94945-1545
(415) 810-6150
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC19817
CA
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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