Individual
JENNIFER HANSBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10390 DEMOCRACY LN, FAIRFAX, VA 22030-2522
(703) 219-2571
Mailing address
10390 DEMOCRACY LN, FAIRFAX, VA 22030-2522
(703) 219-2571
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0001245860
VA
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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