Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
QUAILLA MARRIANNE HAZEN
Active Sole ProprietorQUAILLA MARRIANNE HAZEN is a Case Management Agency healthcare provider located in PONCA CITY, Oklahoma. NPI 1740747278 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · PONCA CITY, OK
Registration Details
- NPI Number
- 1740747278
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2019 (7.513217760314 yrs)
- Last Updated
- Feb 20, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
620 W GRAND AVEPONCA CITY, OK, 746015123Browse OK providers · Browse ZIP 74601
- Phone
- 5807621462
- Fax
- 5807657299
- Primary Specialty
-
Case Management Agency
251B00000X
Other Case Management Agency Providers in PONCA CITY, OK
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY STOJAKOVIC | — | 1801653910 |
| DEMETRICE DELEON | — | 1952127243 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.