Carol F Hansen, REGISTARED NURSE

NPI #1760694830 in Breese, Illinois

Provider Information

NPI Number
1760694830
Entity Type
Individual
Name
Carol F Hansen, REGISTARED NURSE
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Developmental Therapist
Credential
REGISTARED NURSE
Enumeration Date
May 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1665 N 4TH ST
City
Breese
ZIP Code
62230-1791
Phone
(618) 526-8830

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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