Jackie Lynn Hawkinson, SPTA
NPI #1578801346 in Saint Louis Park, Minnesota
Provider Information
- NPI Number
- 1578801346
- Entity Type
- Individual
- Name
- Jackie Lynn Hawkinson, SPTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- SPTA
- Enumeration Date
- Jan 29, 2013
- Last Updated
- Jan 29, 2013
Practice Location
- Address
- 6008 GOODRICH AVE
- City
- Saint Louis Park
- State
- Minnesota
- ZIP Code
- 55416-2425
- Phone
- (612) 578-0502
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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