Individual
STEPHANIE NICOLE HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 NE WASHINGTON ST, LAKE CITY, FL 32055-3030
(386) 269-2535
Mailing address
403 NE WASHINGTON ST, LAKE CITY, FL 32055-3030
(386) 269-2535
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
237561
FL
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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