NPI 1023256435

Candi Hazelwonder, CST

Practitioner Surgical Technologist Normal, IL

Practice location

Address: 1604 Visa Dr STE 1, Normal, IL 61761-2195
Phone: (309) 846-4716
Mailing address: 1606 Visa Dr STE 1, Normal, IL 61761

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X

Other Specialist/Technologist, Other providers in Illinois →

Registry record

NPI: 1023256435
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2009
Record last updated: 23 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.