Individual
MRS. AMANDA SUE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
3017 ROYAL WULFF TER, FITCHBURG, WI 53711-7126
(813) 352-6830
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2064-029
WI
Other
Enumeration date
06/29/2007
Last updated
08/12/2010
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