Individual
CARLY ALEXA HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-1400
Mailing address
6273 GARDENLAKE CT, CINCINNATI, OH 45233-4886
(513) 667-3637
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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