Individual
AIISHA HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 NEVADA ST STE 200, REDLANDS, CA 92374-2958
(877) 527-7227
Mailing address
761 E HOLLY ST, RIALTO, CA 92376-4520
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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