Individual
HAZEL OCTAVIA BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
395 LIBERTY ST, SPRINGFIELD, MA 01104-3779
(413) 799-9721
Mailing address
44 MURRAY HILL AVE APT B, SPRINGFIELD, MA 01104-3709
(413) 799-9721
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN96358
MA
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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