Individual
SHANNA NICOLE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 RUMELIA CIR, BALTIMORE, MD 21221-5829
(443) 762-6896
Mailing address
9 RUMELIA CIR, BALTIMORE, MD 21221-5829
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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