Individual
MRS. VICTORIA MARIE HAZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-5588
Mailing address
24575 LOWE DR, CORONA, CA 92883-4123
(760) 580-6836
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
F255074
CA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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