Individual
ELENA NICOLE HAWKSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 UNIVERSITY DR, FAIRFAX, VA 22030-4444
(703) 980-4806
Mailing address
5201 CALABRIA CT, ALEXANDRIA, VA 22315-4244
(703) 980-4806
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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