Most Relevant Information
Provider Data
| NPI Number: | 1003214354 |
| Provider Name: | EBONY MARIE HAWKES LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 26NP07028100 |
Most Important Dates
| Enumeration Date: | 12/17/2014 |
| Last Updated: | 12/17/2014 |
Provider Practice Location
385 TREMONT AVE
EAST ORANGE
NJ
070181023
Practice Location Phone/Fax
| Phone: | 9736761000 |
| Fax: |
Provider Mailing Location
73 PARKWAY DR W
EAST ORANGE
NJ
070174592
Provider Mailing Phone/Fax
| Phone: | 9739000700 |
| Fax: |