Individual
JENAE MARIE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5974 PENTZ RD, PARADISE, CA 95969-5509
(530) 876-2116
(530) 876-3181
Mailing address
PO BOX 677000, PARADISE, CA 95967-7000
(530) 876-2116
(530) 876-3181
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1006053
CA
133V00000X
Registered Dietitian
10197081
OR
Other
Enumeration date
04/01/2011
Last updated
09/07/2021
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