Individual
TRINIDAD ANTONIA HASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15778 W YUMA RD, GOODYEAR, AZ 85338-3358
(623) 932-7500
Mailing address
11810 W YUMA ST, AVONDALE, AZ 85323-6259
(623) 882-9084
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP039479
AZ
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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