Individual
MR. JASON JOHN HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 E GLENWOOD, ECORSE, MI 48229
(313) 908-7029
Mailing address
18 E GLENWOOD, ECORSE, MI 48229
(313) 908-7029
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
H252373429364
MI
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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