Individual
MS. JANET GAIL HANSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2116 EAST SECTION STREET, MOUNT VERNON, WA 98274-9124
(360) 428-1700
(360) 848-4350
Mailing address
2116 EAST SECTION STREET, MOUNT VERNON, WA 98274-9124
(360) 428-1700
(360) 848-4350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00029047
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8138372
—
WA
Enumeration date
05/31/2005
Last updated
02/25/2011
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