Individual
MRS. JEANNE ELAINE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHN
Contact information
Practice address
5202 UNIVERSITY AVE., SAN DIEGO, CA 92105
(619) 701-5750
(619) 285-5584
Mailing address
627 SANTA HELENA, SOLANA BEACH, CA 92075-1641
(858) 259-5464
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
164477
CA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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