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Individual

SELINA K HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
567 E 26TH ST APT 2, PATERSON, NJ 07514-2570
(862) 235-8500
Mailing address
567 E 26TH ST APT 2, PATERSON, NJ 07514-2570
(862) 235-8500

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06902400
NJ

Other

Enumeration date
12/05/2023
Last updated
12/05/2023
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