Individual
CHRISTINA HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5641 STANDISH AVE, MINNEAPOLIS, MN 55417-2713
(612) 636-7383
Mailing address
5641 STANDISH AVE, MINNEAPOLIS, MN 55417-2713
(612) 636-7383
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B482085387714
MN
Other
Enumeration date
10/26/2015
Last updated
10/27/2015
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