Provider Demographics
NPI:1649683418
Name:HAWES, RIKA (BS)
Entity type:Individual
Prefix:
First Name:RIKA
Middle Name:
Last Name:HAWES
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2071 ROUTE 209
Mailing Address - Street 2:
Mailing Address - City:BRODHEADSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18322-7754
Mailing Address - Country:US
Mailing Address - Phone:570-992-6720
Mailing Address - Fax:
Practice Address - Street 1:2071 ROUTE 209
Practice Address - Street 2:
Practice Address - City:BRODHEADSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18322-7754
Practice Address - Country:US
Practice Address - Phone:570-992-6720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker