Individual
JEWEL HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4408 MELLO CT, SACRAMENTO, CA 95820-3934
(916) 451-2900
Mailing address
4408 MELLO CT, SACRAMENTO, CA 95820-3934
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
154692
CA
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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