Individual
DANIELLE NICOLE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSE
Contact information
Practice address
3731 S ORCHARD ST, APT. 3, TACOMA, WA 98466-7708
(253) 324-4281
Mailing address
3731 S ORCHARD ST, APT. 3, TACOMA, WA 98466-7708
(253) 324-4281
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MA 60084763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 60084763
CREDENTIAL NUMBER
WA
Enumeration date
01/05/2011
Last updated
01/05/2011
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