Organization
HANSEN, LLC
Active
Other names
Ft Collins Weight Loss
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESTHER GRACE HANSEN RD (REGISTERED DIETITIAN)
(970) 581-3278
Entity
Organization
Contact information
Practice address
1224 E ELIZABETH ST, FORT COLLINS, CO 80524-4007
(970) 430-5489
Mailing address
6615 DESERT WILLOW WAY, B3, FORT COLLINS, CO 80525-7804
(970) 581-3278
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
979816
CO
Other
Enumeration date
01/31/2011
Last updated
08/26/2014
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