Individual
LATISHA ANN HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6925 LOMA VISTA DR, FORT WORTH, TX 76133-6428
(817) 323-3309
Mailing address
6925 LOMA VISTA DR, FORT WORTH, TX 76133-6428
(817) 323-3309
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
957386
TX
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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