Individual
MRS. GLORIA JEAN HAZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
501 E HOSPITAL LN, SUITE 101, TERRE HAUTE, IN 47802-4230
(812) 234-0707
(812) 234-3352
Mailing address
501 E HOSPITAL LN, SUITE 101, TERRE HAUTE, IN 47802-4230
(812) 234-0707
(812) 234-3352
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27054323A
IN
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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