Individual
MRS. FAWN HAZELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
704 RILEY AVE, DAWSON, NE 68337-4034
(402) 862-5299
Mailing address
704 RILEY AVE, DAWSON, NE 68337
(402) 862-5299
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
124326
NE
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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