Jacob Daniel Hawkins
Jacob Daniel Hawkins is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
750 N Freedom BlvdProvo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1720604861 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 24, 2020 |
| Last updated in NPPES | June 24, 2020 |
| Certification date | June 24, 2020 |
| Mailing address | 750 N Freedom Blvd, Provo, UT 84601-1677 |
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