Individual
REBECCA HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
119 SOUTH AVE, WEBSTER, NY 14580-3559
(585) 670-5208
Mailing address
119 SOUTH AVE, WEBSTER, NY 14580-3559
(585) 670-5208
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
508904
NY
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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