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

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

The current practice location address for Tracy M 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 M Hazelton
Credential
PA-C
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
10/19/2024
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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