Individual
SAMANTHA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1253 MAKALAPA GATE RD, PEARL HARBOR, HI 96860-4479
(540) 588-1355
Mailing address
1253 MAKALAPA GATE RD, PEARL HARBOR, HI 96860-4479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
94296
HI
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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