Individual
SHANTELL M HAZLEWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 EASY ST, NEEDLES, CA 92363-4246
(760) 880-5733
Mailing address
1409 EASY ST, NEEDLES, CA 92363-4246
(760) 880-5733
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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