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Lizarose Y. T. Hansen, CERTIFIEDFAMILYHOM
Specialist in Chubbuck, Idaho
NPI 1104527118

Lizarose Y. T. Hansen is a Specialist based in Chubbuck, ID. Lizarose Y. T. Hansen practices in Chubbuck, ID and has the professional credentials of CERTIFIEDFAMILYHOM. The NPI Number for Lizarose Y. T. Hansen is 1104527118 and holds a License No. CFH-6547 (Idaho).

The current practice location address for Lizarose Y. T. Hansen is 5201 Mesquite Dr Apt 3, Chubbuck, ID and can be reached out via phone at 208-705-0591. You can also correspond with Lizarose Y. T. Hansen through the mailing address at 5201 MESQUITE DR APT 3, CHUBBUCK, ID - 83202-5135 (mailing address contact number: 208-705-0591).

Location: 5201 Mesquite Dr Apt 3, Chubbuck, ID, 83202-5135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104527118
Provider Name
Lizarose Y. T. Hansen
Credential
CERTIFIEDFAMILYHOM
Provider Entity Type
Individual
Gender
Female
Address
5201 Mesquite Dr Apt 3, Chubbuck, ID, 83202-5135
Phone Number
208-705-0591
Fax Number
Provider Enumeration Date
03/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5201 Mesquite Dr Apt 3
City
Chubbuck
State
Idaho
Zip
83202-5135
Phone Number
208-705-0591
Fax Number
person
Provider Business Mailing Address Details
Address
5201 Mesquite Dr Apt 3
City
Chubbuck
State
Idaho
Zip
83202-5135
Phone Number
208-705-0591
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
CFH-6547 (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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