Individual provider · Type 1 NPI

Raven Hawthorne

Other Technician · Fort Lauderdale, FL

NPI number 1366950834 Active

Practice location

1001 W Cypress Creek Rd
Fort Lauderdale, FL 33309-1900

Mailing address

680 SW 30th Ave
Fort Lauderdale, FL 33312-2123

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1366950834

Raven Hawthorne's National Provider Identifier is 1366950834, issued on Jan 17, 2018. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jan 17, 2018.