Individual
HAZELLE LAMA BAYLOSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1419 E 8TH ST, NATIONAL CITY, CA 91950-2602
(619) 718-1743
Mailing address
1700 OCONNOR AVE, CHULA VISTA, CA 91913-4324
(619) 508-5834
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95032369
CA
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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