Individual
CAROL HAWKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
987 SISKIYOU BLVD, ASHLAND, OR 97520-2237
(541) 821-5042
Mailing address
987 SISKYOU BVD, ASHLAND, OR 97504
(541) 821-5042
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6445
OR
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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