Individual
ANNE HANNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 E THOUSAND OAKS BLVD, THOUSAND OAKS, CA 91360-6055
(805) 371-3696
Mailing address
780 E THOUSAND OAKS BLVD, THOUSAND OAKS, CA 91360-6055
(805) 371-3696
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L6442
CA
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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