Individual
MRS. DELORES G HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4800 S GRAND ST, MONROE, LA 71202-6412
(318) 362-3339
(318) 362-3336
Mailing address
11 COLONIAL DR, MONROE, LA 71203-2504
(318) 362-3339
(318) 362-3336
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN062118
LA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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