Doctor Name: | MRS. SHARON EVETTE HAWKS |
NPI Number: | 1417141557 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S, RD, LDN, CDE |
License Number: | D01715 |
Business Practice Address: | 12150 Annapolis Rd. Ste. 104 Glenn Dale, MD - 20769 |
Business Phone Number: | 3018058292 |
Business Fax Number: | 3013520405 |
Mailing Address: | 12150 Annapolis Rd, Ste 104 GLENN DALE |
State: | MD |
Postal Code: | 207699183 |
Phone Number: | 3018058292 |
Fax Number: | 3013520405 |
NPI Enumeration Date: | 08/31/2007 |
NPI Last Update Date: | 01/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | D01715 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |