Individual
TRUDY HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S 14TH ST, PARSONS, KS 67357-4201
(620) 423-3411
(620) 423-3336
Mailing address
119 E ATKINSON AVE, PITTSBURG, KS 66762
(620) 423-3411
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
14-01921
KS
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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