Individual
DEBRA G HAZELWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
3628 HOMESTEAD DR, COLUMBUS, OH 43224-3475
(614) 571-6293
Mailing address
3628 HOMESTEAD DR, COLUMBUS, OH 43224-3475
(614) 571-6293
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0345256
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0345256
—
OH
Enumeration date
11/21/2020
Last updated
11/21/2020
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