Individual
MCKENDRIE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
6510 HINSON ST, LAS VEGAS, NV 89118-4413
(435) 406-5046
Mailing address
6510 HINSON ST, LAS VEGAS, NV 89118-4413
(435) 406-5046
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506435
NV
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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