LARAE JEAN HANSEN

VENTURA, CA
NPI1184221798
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA  95015281)
Enumeration Date2020-10-06
Last Update Date2020-10-06
Business Address
LARAE JEAN HANSEN MSN, PNP
7805 REDONDO ST
VENTURA, CA 93004-3814
Phone number: 805-452-8436
Mailing Address
LARAE JEAN HANSEN MSN, PNP
7805 REDONDO ST
VENTURA, CA 93004-3814
Phone number: 805-452-8436