Individual
LOIS JEAN HAZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
216 W MAIN ST, VERMILLION, SD 57069-3017
(605) 624-6732
(605) 624-6732
Mailing address
216 W MAIN ST, VERMILLION, SD 57069-3017
(605) 624-6732
(605) 624-6732
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
551
SD
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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