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Individual
JOHN WILLIAM HATHAWAY JR.
Active
Individual
JOHN WILLIAM HATHAWAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95238727
CA
363L00000X
Nurse Practitioner
95035568
CA
363LF0000X
Family Nurse Practitioner
Primary
95035568
CA
Other
Enumeration date
06/13/2025
Last updated
05/11/2026
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