Provider Demographics
NPI:1710768361
Name:HAWKINS- HAIGLER, RHASHANDRA D (CHW)
Entity Type:Individual
Prefix:
First Name:RHASHANDRA
Middle Name:D
Last Name:HAWKINS- HAIGLER
Suffix:
Gender:F
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20067 CHAPEL ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48219-1329
Mailing Address - Country:US
Mailing Address - Phone:313-459-4390
Mailing Address - Fax:
Practice Address - Street 1:20067 CHAPEL ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-1329
Practice Address - Country:US
Practice Address - Phone:313-459-4390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker