Individual
JONI ELAINE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
(701) 252-3850
Mailing address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
(701) 252-3850
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
202
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54677
—
ND
Enumeration date
03/19/2009
Last updated
03/19/2009
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