Individual
DIANE JUANITA HAWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R..N.
Contact information
Practice address
173 RAINBOW DR, #7364, LIVINGSTON, TX 77399-0001
(661) 747-4795
Mailing address
173 RAINBOW DRIVE, #7364, LIVINGSTON, TX 77399-1073
(661) 747-4795
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
109426
TX
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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