Individual
REBECCAH HAZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LDEM
Contact information
Practice address
394 W MAIN ST, LEHI, UT 84043-2035
(801) 796-2229
Mailing address
8116 N RIDGE LOOP W APT N8, EAGLE MOUNTAIN, UT 84005-4643
(760) 793-0956
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
112388865-3400
UT
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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