Individual
HAZEL DILLEHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1910 ALBERT PIKE RD, SUITE H, HOT SPRINGS, AR 71913-4011
(501) 624-6557
(501) 624-1481
Mailing address
1910 ALBERT PIKE RD, SUITE H, HOT SPRINGS, AR 71913-4011
(501) 624-6557
(501) 624-1481
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R53953
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118760716
—
AR
Enumeration date
11/29/2010
Last updated
11/07/2012
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