CHRISTINE DANIELLE HANSEN

NAMPA, ID
NPI1104558568
Former NameCHRISTINE CLARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2601)
Enumeration Date2022-06-25
Last Update Date2023-11-14
Business Address
CHRISTINE DANIELLE HANSEN PA
11035 KARCHER RD
NAMPA, ID 83651-8200
Phone number: 208-302-6650
Mailing Address
CHRISTINE DANIELLE HANSEN PA
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-302-9342
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