Individual
MRS. MARY HANSEN X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CARE GIVER
Contact information
Practice address
200 SOUTH BOIS D ARC, HOLLIDAY, TX 76366-0226
(940) 583-4519
Mailing address
PO BOX 226, HOLLIDAY, TX 76366-0226
(940) 583-4519
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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