Individual
MISS HAZEL H. ANDO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.T.,C.
Contact information
Practice address
280 S MAIN ST, ORANGE, CA 92868-3852
(714) 937-2157
Mailing address
9112 MCFADDEN AVE, WESTMINSTER, CA 92683-6533
(714) 937-2157
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
SPECIALIST/TECHNOLOGIST
CA
Enumeration date
06/18/2006
Last updated
07/08/2007
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