Individual
PAMELA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 AIRPORT WAY, FAIRBANKS, AK 99701-6039
(907) 451-0389
(907) 451-0210
Mailing address
805 AIRPORT WAY, FAIRBANKS, AK 99701-6039
(907) 451-0389
(907) 451-0210
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
92-0035250
AK
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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