Individual
CHRISTINA HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
322 S BIRCH ST, MCCLEARY, WA 98557-9522
(360) 208-9625
Mailing address
322 S BIRCH ST, MCCLEARY, WA 98557-9522
(360) 208-9625
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60349788
WA
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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