Individual
MISS HANNA JANSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
599 TOMALES RD, PETALUMA, CA 94952-5002
(201) 289-7237
Mailing address
599 TOMALES RD, PETALUMA, CA 94952-5002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AWAITING
UT
Other
Enumeration date
03/10/2023
Last updated
04/10/2023
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