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Individual

MELISSA SARAH HAWKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
1261 TRAVIS BLVD, #150, FAIRFIELD, CA 94533-4897
(707) 426-5407
(707) 426-6376
Mailing address
1261 TRAVIS BLVD, #150, FAIRFIELD, CA 94533-4897
(707) 426-5407
(707) 426-6376

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17600
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00202421
RAILROAD RETIREMENT BOARD
CA
Enumeration date
03/18/2006
Last updated
02/25/2016
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