person
Tracy Hazelton, PA
Medical Physician Assistant in Clearlake, California
NPI 1821024746

Tracy Hazelton is a Medical Physician Assistant based in Clearlake, CA and is specialized in Medical. Tracy Hazelton practices in Clearlake, CA and has the professional credentials of PA. The NPI Number for Tracy Hazelton is 1821024746 and holds a License No. PA13690 (California).

The current practice location address for Tracy Hazelton is 15322 Lakeshore Dr, Clearlake, CA and can be reached out via phone at 707-995-1362 and via fax at 707-995-1362.

Location: 15322 Lakeshore Dr, Clearlake, CA, 95422-9814
person
Provider Profile Details
NPI Number
1821024746
Provider Name
Tracy Hazelton
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
15322 Lakeshore Dr, Clearlake, CA, 95422-9814
Phone Number
707-995-1362
Fax Number
707-995-1362
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
15322 Lakeshore Dr
City
State
Zip
95422-9814
Phone Number
707-995-1362
Fax Number
707-995-1362
person
Provider Business Mailing Address Details
Address
15322 Lakeshore Dr
City
State
Zip
95422-9814
Phone Number
707-995-1362
Fax Number
707-995-1362
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA13690 (California)
Definition
Definition to come...
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