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Individual

CARRIE HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
11539 HAWTHORNE BLVD, 6TH FLOOR, HAWTHORNE, CA 90250-2325
(310) 675-5370
Mailing address
11539 HAWTHORNE BLVD, 6TH FLOOR, HAWTHORNE, CA 90250-2325
(310) 675-5370

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14920
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA14920
LICENSE #
CA
Enumeration date
02/23/2007
Last updated
11/29/2017
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