Individual
JORDAN CARTER HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
5516 ROOSEVELT AVE APT 204, AUSTIN, TX 78756-1751
(817) 913-9033
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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