Individual
DANIELLE CRISTIE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8301 NE HAZEL DELL AVE, VANCOUVER, WA 98665-8047
(360) 991-2301
Mailing address
8301 NE HAZEL DELL AVE, VANCOUVER, WA 98665-8047
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16095
OR
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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