Individual
MEGAN WAALK HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
218 CORPORATE DR, HOUMA, LA 70360-2768
(985) 853-1390
Mailing address
2376 BAYOU BLUE RD, HOUMA, LA 70364-4310
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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