Most Relevant Information
Provider Data
| NPI Number: | 1003045261 |
| Provider Name: | EBOW HANSON LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 296412 |
Most Important Dates
| Enumeration Date: | 07/09/2009 |
| Last Updated: | 07/09/2009 |
Provider Practice Location
2250 WEHRLE DR
SUITE 1
WILLIAMSVILLE
NY
142217034
Practice Location Phone/Fax
| Phone: | 7162762123 |
| Fax: | 7162762129 |
Provider Mailing Location
341 COLVIN AVE
APT 14
BUFFALO
NY
142162322
Provider Mailing Phone/Fax
| Phone: | 3472045182 |
| Fax: |