Organization
8262EMH
Active
Other names
MARIE HAWKINS
Organization subpart
No
Provider details
NPI number
Authorized official
ETHEL MARIE HAWKINS (PRIVATE NURSE)
(562) 786-4994
Entity
Organization
Contact information
Practice address
3713 E ARABELLA ST, LONG BEACH, CA 90805-3915
(562) 786-4994
Mailing address
3713 E ARABELLA ST, LONG BEACH, CA 90805-3915
(562) 786-4994
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
VN136932
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013109677
—
CA
Enumeration date
09/15/2015
Last updated
09/15/2015
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