Hawkins, Marifer

Hawkins, Marifer is an individual health care provider with primary practice located at 1205 Renaissance Pkwy , Rialto CA 92376-2417. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Hawkins, Marifer can be contacted via phone (909) 253-0490.

Contact Information

Primary practice address
1205 Renaissance Pkwy Rialto CA 92376-2417
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X E1185783 California

Profile Details

NPI number 1245864826
LBN Legal business name Hawkins, Marifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2020
Last updated Feb 23rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245864826 NPPES
California MEDICAID E1185783

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