Individual
AKITTA HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 ARRON DR, APT 27, LAKE PLACID, FL 33852-1918
(863) 424-6803
Mailing address
108 ARRON DR, APT 27, LAKE PLACID, FL 33852-1918
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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