Individual
CAROLYN SUE HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLT
Contact information
Practice address
RR 1 BOX 67, HARLEM, MT 59526-9705
(406) 353-3100
(406) 353-3229
Mailing address
RR 1 BOX 67, HARLEM, MT 59526-9705
(406) 353-3100
(406) 353-3229
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
57855
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57855
LICENSE
IN
Enumeration date
04/10/2009
Last updated
04/10/2009
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