KEVIN DARYL HAZEL

SAN DIEGO, CA
NPI1831856210
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  51342)
Enumeration Date2021-11-20
Last Update Date2021-11-20
Business Address
KEVIN DARYL HAZEL
15373 INNOVATION DR STE 220
SAN DIEGO, CA 92128-3425
Phone number: 858-592-8855
Mailing Address
KEVIN DARYL HAZEL
724 DENNIS AVE
CHULA VISTA, CA 91910-6215
Phone number: 619-762-0610
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