Individual
TRACIE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
581 W 1600 N, OREM, UT 84057-2571
(801) 368-8423
Mailing address
169 S PLEASANT GROVE BLVD, PLEASANT GROVE, UT 84062-2293
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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