NPI 1043949860
Callie Jo Hanson, RDHMDT
Practice location
- Address
- 309 Holly Ln, Mankato, MN 56001-5422
- Phone
- (507) 388-2120
- Mailing address
- 3502 Hoeger Ln, Albert Lea, MN 56007-4220
Registered specialties (2)
Dental Therapist
Primary
Dental Hygienist
Registry record
- NPI
- 1043949860
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Jun 2022
- Record last updated
- 28 Jun 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.