Individual
DIANE HAZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 NE 134TH ST STE 300, VANCOUVER, WA 98686-3036
(360) 718-2355
(360) 828-7782
Mailing address
2621 NE 134TH ST STE 300, VANCOUVER, WA 98686-3036
(360) 718-2355
(360) 828-7782
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
IL 60564805
WA
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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