Individual
MRS. SAVANAH A HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4400 E FLAMINGO AVE STE 130, NAMPA, ID 83687
(208) 205-0350
(208) 205-0356
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642
(208) 205-0350
(208) 205-0356
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1646
ID
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/10/2018
Last updated
02/14/2019
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