Individual
DOREEN MARIE HAZEL HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T, CST
Contact information
Practice address
15040 21 MILE RD, MARSHALL, MI 49068-8108
(269) 986-1789
(269) 781-1979
Mailing address
15040 21 MILE RD, MARSHALL, MI 49068-8108
(269) 986-1789
(269) 781-1979
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
10/03/2013
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