Individual
MISS JULIA A HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8060 KNUE RD, SUITE 110, INDIANAPOLIS, IN 46250-1976
(317) 842-7435
Mailing address
187 LOVE AVE, APT. G, GREENWOOD, IN 46142-5193
(317) 517-3877
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27055770A
IN
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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