Individual
TRACY M HAZELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14440 OLYMPIC DRIVE, CLEARLAKE, CA 95422-8809
(707) 263-8383
(707) 263-5019
Mailing address
PO BOX 1950, LAKEPORT, CA 95453-1950
(707) 263-8382
(707) 263-1909
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13690
CA
Other
Enumeration date
06/23/2006
Last updated
08/01/2025
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