Evan Hansen

NPI #1033638838 in Plymouth, New Hampshire

Provider Information

NPI Number: 1033638838
Entity Type: Individual
Name: Evan Hansen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 12, 2017
Last Updated: Sep 12, 2017

Practice Location

Address: 5 FIRST STREET
Address 2: APARTMENT B
City: Plymouth
State: New Hampshire
ZIP Code: 03264
Phone: (802) 505-5264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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