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Individual

HAZEL CROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN,CDE

Contact information

Practice address
3-3420 KUHIO HWY STE B, LIHUE, HI 96766-1098
(808) 212-8443
(808) 246-1381
Mailing address
3-3420 KUHIO HWY STE B, LIHUE, HI 96766-1098
(808) 212-8443
(808) 246-1381

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN-62487
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2052-0098
CDE
Enumeration date
11/16/2009
Last updated
11/16/2009
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