Individual
SARA LEIGH HANSON
Active
Individual
SARA LEIGH HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
71000330A
IN
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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