Frederick Hawthorne

NPI #1306496195 in Kent, Washington

Provider Information

NPI Number: 1306496195
Entity Type: Individual
Name: Frederick Hawthorne
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Sep 13, 2019
Last Updated: Sep 13, 2019

Practice Location

Address: 827 CENTRAL AVE N STE B-109
City: Kent
State: Washington
ZIP Code: 98032-3095
Phone: (253) 277-2726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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