Individual
ALISA JEWEL HAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
245 MOUNT HERMON RD STE L, SCOTTS VALLEY, CA 95066-4044
(831) 430-7203
(831) 430-7204
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95019616
CA
Other
Enumeration date
09/29/2022
Last updated
04/18/2023
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