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Individual

HANNA ROSE DELANCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPC

Contact information

Practice address
151 N MARKET BLVD STE C, CHEHALIS, WA 98532-2677
(360) 948-0203
(360) 262-6703
Mailing address
2277 SW SALSBURY AVE UNIT 47, CHEHALIS, WA 98532-4408
(360) 388-1753

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60948084
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376696096
WA
Enumeration date
04/23/2019
Last updated
04/23/2019
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