Individual
CARLENE A HAWKSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1555 SOQUEL AVENUE, SANTA CRUZ, CA 95065-1705
(831) 462-7700
(831) 462-7607
Mailing address
105A COOPER CT, LOS GATOS, CA 95032-7604
(408) 884-2710
(408) 884-2734
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G53698
CA
207ZP0101X
Anatomic Pathology Physician
Primary
MD214004
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G53698
CA STATE LICENSE
CA
Enumeration date
11/15/2006
Last updated
02/07/2023
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