Individual
MR. CHADRON B HAZELBAKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
5129 S MYRTLE LN, SPOKANE, WA 99223-7857
(509) 448-4738
Mailing address
5129 S MYRTLE LN, SPOKANE, WA 99223-7857
(509) 448-4738
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/02/2006
Last updated
07/08/2007
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