Individual
SUZETTE HATHCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2930 W TANNER RANCH RD, QUEEN CREEK, AZ 85142-4722
(480) 984-3216
(480) 380-0105
Mailing address
2930 W TANNER RANCH RD, QUEEN CREEK, AZ 85142-4722
(480) 984-3216
(480) 380-0105
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN193592
AZ
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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