Individual
MRS. PAMELA D HAZENSTAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 LAKEMONT PARK BLVD, ALTOONA, PA 16602-5900
(814) 941-1903
(814) 941-1634
Mailing address
RR 3 BOX 304, ALTOONA, PA 16601-9211
(814) 942-1903
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN502129L
PA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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