Individual
MS. DONNA GRACE HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
446 GAGE AVE, DECATUR, IN 46733-2222
(260) 437-1996
(260) 724-3346
Mailing address
446 GAGE AVE, DECATUR, IN 46733-2222
(260) 437-1996
(260) 724-3346
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28141466A
IN
Other
Enumeration date
08/11/2012
Last updated
08/11/2012
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