Individual
EBONY MARIE HAWKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
73 PARKWAY DR W, EAST ORANGE, NJ 07017-4592
(973) 900-0700
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07028100
NJ
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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