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Individual

JOHNATHON S HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1401 GARCES HWY, DELANO, CA 93215-3690
(661) 725-4800
Mailing address
2635 G ST, BAKERSFIELD, CA 93301-2813
(209) 956-7725
(209) 956-7733

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
235925
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
NA4069
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200330850A
OK
01
4069
CRNA
CA
Enumeration date
01/25/2010
Last updated
03/31/2016
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