Individual
MRS. CYNTHIA HAWKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
113 ELM ST, FAYETTEVILLE, NY 13066-1306
(315) 878-2381
Mailing address
113 ELM ST, FAYETTEVILLE, NY 13066-1306
(315) 878-2381
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007398
NY
Other
Enumeration date
04/09/2017
Last updated
04/09/2017
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