Individual
MINA HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44501 16TH ST W STE 107, LANCASTER, CA 93534-2884
(661) 974-7033
(661) 974-7022
Mailing address
PO BOX 802227, SANTA CLARITA, CA 91380-2227
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50645
CA
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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