Individual
MS. MARY ANN HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1337 VILLAGE LOOP, BANDON, OR 97411-8858
(310) 429-5411
Mailing address
1337 VILLAGE LOOP, BANDON, OR 97411-8858
(310) 429-5411
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
18115
OR
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/30/2013
Last updated
08/31/2013
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