Individual
HANNAH GAKNERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(213) 800-1651
Mailing address
3612 THOR AVE, LOS ALAMITOS, CA 90720-3930
(714) 930-6473
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95127710
CA
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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