Individual
DR. AMANDA MARIE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3425 UTAH ST, SAINT LOUIS, MO 63118-2726
(937) 689-8357
Mailing address
3425 UTAH ST, SAINT LOUIS, MO 63118-2726
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2017013583
MO
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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