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Individual

REBECCA A HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
401 W POPLAR ST, PALLIATIVE CARE, WALLA WALLA, WA 99362-2846
(509) 522-5514
(509) 522-5504
Mailing address
PO BOX 34439, SEATTLE, WA 98124-1439

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00111517
WA
164W00000X
Licensed Practical Nurse
Primary
AP30003015
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000740
OR
05
1730348368
WA
01
235861
L&I
WA
Enumeration date
06/09/2008
Last updated
04/04/2012
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