Individual
JENNA NICOLE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
831 MCKINLEY AVE, OMRO, WI 54963-2001
(920) 573-5139
Mailing address
831 MCKINLEY AVE, OMRO, WI 54963-2001
(920) 573-5139
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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