Individual
MR. JONTUE K HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
102 W 2ND ST, THIBODAUX, LA 70301-3004
(985) 446-5244
(985) 446-5478
Mailing address
102 W 2ND ST, THIBODAUX, LA 70301-3004
(985) 446-5244
(985) 446-5478
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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