Individual
CRYSTAL JEAN HANBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 EUCLID AVE # A81, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
8836 HAZELWOOD RUN, NORTH RIDGEVILLE, OH 44039-4522
(614) 202-2465
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008448RX
OH
Other
Enumeration date
08/23/2023
Last updated
09/26/2023
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