Individual
ABBY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 W CHESTNUT ST # 91204, GLENDALE, CA 91204-1711
(608) 280-1888
Mailing address
214 W CHESTNUT ST # 91204, GLENDALE, CA 91204-1711
(608) 280-1888
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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