Individual
DELORES A HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRTT
Contact information
Practice address
7025 N WICKHAM RD, SUITE 112, MELBOURNE, FL 32940-7534
(321) 259-3400
Mailing address
1444 AGNES AVE SE, PALM BAY, FL 32909-5435
(321) 727-2351
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
TT9873
FL
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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