Provider Demographics
NPI:1902388572
Name:DURBIN, HANNAH LOUISE (DC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:LOUISE
Last Name:DURBIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:LOUISE
Other - Last Name:DURBIN-DEFEBVRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:685 E REMINGTON DR STE C
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-1982
Mailing Address - Country:US
Mailing Address - Phone:408-737-0330
Mailing Address - Fax:
Practice Address - Street 1:685 E REMINGTON DR STE C
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-1982
Practice Address - Country:US
Practice Address - Phone:408-737-0330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34307111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor