Individual
LEAH RAE HAZELWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1728 E STATE ROUTE 9, PAXTON, IL 60957-4094
(217) 649-9228
Mailing address
1728 E STATE ROUTE 9, PAXTON, IL 60957-4094
(217) 649-9228
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.266050
IL
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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