Individual
JEANA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 RAMSHORN DR, MANASQUAN, NJ 08736-2133
(732) 528-9311
(732) 528-9026
Mailing address
2501 RAMSHORN DR, MANASQUAN, NJ 08736-2133
(732) 528-9311
(732) 528-9026
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
061329
NJ
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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