BRANDIE HAZELTON

VANCOUVER, WA
NPI1528303708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy126800000X Dental Assistant
(Licence: WA  93-0798039)
Enumeration Date2012-11-29
Last Update Date2012-11-29
Business Address
-- BRANDIE HAZELTON
5415 NE 54TH AVE
VANCOUVER, WA 98661-2165
Phone number: 360-609-4170
Mailing Address
-- BRANDIE HAZELTON
5415 NE 54TH AVENUE
VANCOUVER, WA 98661
Phone number: 360-609-4170
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