Individual
MRS. SHAVON HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(562) 401-7668
Mailing address
5915 S CROFT AVE, LOS ANGELES, CA 90056-1610
(310) 528-3886
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14585
CA
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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