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Individual

LINDA HABIB HANNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9975 RUE CHANTEMAR, SAN DIEGO, CA 92131-3205
(858) 271-4244
Mailing address
4505 LA CUENTA DR, SAN DIEGO, CA 92124-3008
(619) 765-9615

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B4078494
CALIFORNIA IDENTIFICATION CARD
CA
Enumeration date
11/16/2021
Last updated
11/16/2021
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