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Brandie Hazelton
NPI 1528303708 · on the registry since 2012 · sole proprietor
Practice
- Address
- 5415 Ne 54th Ave
Vancouver, WA 98661 - Phone
- (360) 609-4170
Registry record
- Primary taxonomy
- 126800000X
126800000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-11-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington