Individual
ERICA MARISSA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
77 W FOREST AVE, SUITE 305, FLAGSTAFF, AZ 86001-1479
(928) 773-2257
(928) 773-2287
Mailing address
77 W FOREST AVE, SUITE 305, FLAGSTAFF, AZ 86001-1479
(928) 773-2257
(928) 773-2287
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA7661
AZ
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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