Individual
DANIEL LUIS HAWTHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
522 CORTEZ RD, JEFFERSON TOWNSHIP, PA 18436-3707
(570) 470-4913
Mailing address
522 CORTEZ RD, JEFFERSON TOWNSHIP, PA 18436-3707
(570) 470-4913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN791127
PA
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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