Theodora Hanson

NPI #1992941371 in Bronx, New York

Provider Information

NPI Number
1992941371
Entity Type
Individual
Name
Theodora Hanson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jan 6, 2009
Last Updated
Jan 6, 2009

Practice Location

Address
1374 BRONX RIVER AVE
Address 2
APT 3 E
City
Bronx
ZIP Code
10472-1106
Phone
(917) 583-9719

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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