Individual
JACQUELINE LEE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
111 WILLARD ST STE 2A, QUINCY, MA 02169-1274
(617) 804-7464
(617) 471-1114
Mailing address
111 WILLARD ST STE 2A, QUINCY, MA 02169-1274
(617) 804-7464
(617) 471-1114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3759
MA
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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