Individual
CHARLES HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 E 5TH AVE, ANCHORAGE, AK 99501-2759
(907) 764-4355
Mailing address
1104 E 5TH AVE, ANCHORAGE, AK 99501-2759
(907) 764-4355
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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