Individual
JALESA CHANTAE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 FIELD ST, DETROIT, MI 48214-2321
(313) 924-7860
Mailing address
1423 FIELD ST, DETROIT, MI 48214-2321
(313) 924-7860
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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