Hagewood, Anita Rose

Hagewood, Anita Rose is an individual health care provider with primary practice located at 2101 Courage Dr , Fairfield CA 94533-6717. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Hagewood, Anita Rose can be contacted via phone (707) 253-7015.

Contact Information

Primary practice address
2101 Courage Dr Fairfield CA 94533-6717
Phone: (707) 253-7015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT18280 California

Profile Details

NPI number 1356820732
LBN Legal business name Hagewood, Anita Rose
Credentials LICENSED PSYCH TECH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2018
Last updated Aug 7th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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