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Lynnette Hanna

Rehabilitation Practitioner in Covina, CA. Individual provider (NPI-1).

NPI number1154812840
StatusActive
Last updated in NPPESMay 29, 2018

Details

NPI
1154812840
Entity type
Individual (NPI-1)
Name
Lynnette Hanna
Sex
Female
Sole proprietor
No
Enumeration date
May 29, 2018
Last updated
May 29, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

4740 N Grand Ave
Covina, CA 91724-2005

Phone 626-859-6537 · Fax 626-859-6535

Mailing address

4740 N Grand Ave
Covina, CA 91724-2005

Phone 626-859-6537 · Fax 626-859-6535

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