Individual
MS. TINA MARCY HAZIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
42484 CHERRY HILL RD, CANTON, MI 48187-3401
(734) 844-1010
(734) 844-3913
Mailing address
42484 CHERRY HILL RD, CANTON, MI 48187-3401
(734) 844-1010
(734) 844-3913
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704172961
MI
Other
Enumeration date
05/08/2006
Last updated
05/30/2008
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