Jack Hansen
NPI #1346732203 in San Jacinto, California
Provider Information
- NPI Number
- 1346732203
- Entity Type
- Individual
- Name
- Jack Hansen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 5, 2018
- Last Updated
- Jun 5, 2018
Practice Location
- Address
- 1330 S STATE ST
- City
- San Jacinto
- State
- California
- ZIP Code
- 92583-4942
- Phone
- (951) 791-2129
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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