Individual
BRENDA HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2860 REEF BAY LN, LAS VEGAS, NV 89128-7270
(702) 427-2710
Mailing address
2860 REEF BAY LN, LAS VEGAS, NV 89128-7270
(702) 427-2710
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/23/2012
Last updated
09/23/2012
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