Individual
CASSONDRA YVETTE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1165 MONTGOMERY DR, SANTA ROSA, CA 95405-4801
(707) 525-5300
Mailing address
3956 SUNSET COVE DR, PORT ORANGE, FL 32129-1918
(386) 871-3855
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014009
CA
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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