Individual
MRS. KATHLEEN RENEE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
6320 W UNION HILLS DR, SUITE 1500B, GLENDALE, AZ 85308-1096
(623) 561-2673
(623) 825-6315
Mailing address
6320 W UNION HILLS DR, SUITE 1500B, GLENDALE, AZ 85308-1096
(623) 561-2673
(623) 825-6315
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT09426
AZ
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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