Organization
HAWK NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AURORA HAWK MS, RD, LDN (DIETITIAN/OWNER)
(724) 840-7655
Entity
Organization
Contact information
Practice address
424 LEXINGTON DR, GREENSBURG, PA 15601-9152
(724) 840-7655
Mailing address
424 LEXINGTON DR, GREENSBURG, PA 15601-9152
(724) 840-7655
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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