Individual
DARCEY JADENE HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
5420 208TH STREET CT E, SPANAWAY, WA 98387-4760
(253) 441-0978
Mailing address
5420 208TH STREET CT E, SPANAWAY, WA 98387-4760
(253) 441-0978
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60212142
WA
Other
Enumeration date
03/29/2011
Last updated
07/27/2015
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