Individual
JENNIFER L HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 N PEARL ST, ELLENSBURG, WA 98926-2938
(509) 925-9861
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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