Individual
SUKENA MONIQUE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 GLENMORE AVE, PHILADELPHIA, PA 19142-3206
(443) 243-8046
Mailing address
6100 GLENMORE AVE, PHILADELPHIA, PA 19142-3206
(443) 243-8046
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
57183601
PA
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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