Individual
DEBORAH YOUNG HAZELBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.M.S.
Contact information
Practice address
4181 IONA ST, TITUSVILLE, FL 32796-2222
(321) 225-4936
Mailing address
4181 IONA ST, TITUSVILLE, FL 32796-2222
(321) 225-4936
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
57090
FL
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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