Individual
QUANTIS HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
541 N TREMONT ST, INDIANAPOLIS, IN 46222-3734
(317) 635-5133
Mailing address
541 N TREMONT ST, INDIANAPOLIS, IN 46222-3734
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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