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ELENA NICOLE HAWKSWORTH

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1871130534

Individual Registrant:
 ELENA NICOLE HAWKSWORTH 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4400 UNIVERSITY DR  FAIRFAX, VA 22030-4444 US
Tel: 703-980-4806  Fax: --

Contact information for business:
5201 CALABRIA CT  ALEXANDRIA, VA 22315-4244 US
Tel: 703-980-4806  Fax: --

Registration Information:
NPI: 1871130534
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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