Individual
JESSICA HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
371 MAIN ST., 2ND FLOOR, AURORA, NY 13026
(315) 710-1153
Mailing address
PO BOX 179, AURORA, NY 13026-0179
(315) 730-1153
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25 004835
NY
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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