Doctor Name: | JENAE MARIE HAWKINS |
NPI Number: | 1093004822 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 1006053 |
Business Practice Address: | 5974 Pentz Rd Paradise, CA - 959695509 |
Business Phone Number: | 5308762116 |
Business Fax Number: | 5308763181 |
Mailing Address: | Po Box 677000, PARADISE |
State: | CA |
Postal Code: | 959677000 |
Phone Number: | 5308762116 |
Fax Number: | 5308763181 |
NPI Enumeration Date: | 04/01/2011 |
NPI Last Update Date: | 12/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1006053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |