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Individual

MS. TESSA HAWK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1011 N ALDER ST, ELLENSBURG, WA 98926-2699
(509) 929-0990
Mailing address
4351 CLEMAN RD, ELLENSBURG, WA 98926-9777

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA 60074756
WA

Other

Enumeration date
03/23/2009
Last updated
03/23/2009
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