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Individual

MICO HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
44616 FIG AVE, LANCASTER, CA 93534-3415
(661) 373-8792
Mailing address
44616 FIG AVE, LANCASTER, CA 93534-3415
(661) 373-8792

Taxonomy

Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
253Z00000X
In Home Supportive Care Agency
Primary
332U00000X
Home Delivered Meals
347E00000X
Transportation Broker
374U00000X
Home Health Aide

Other

Enumeration date
01/06/2023
Last updated
01/06/2023
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