Individual
PHYLLIS Y HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1308 W 5TH ST, CROSSETT, AR 71635
(870) 364-7248
(870) 364-2249
Mailing address
1308 W 5TH ST, CROSSETT, AR 71635
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L41846
AR
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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