Type 1 individualNPI 1003430398

KRYSTAL HAWKINS CADC II

175T00000X · SACRAMENTO, CA

Why this profile is appearing now

Observed change signals

No current public change signal is attached to this profile.

Reported classification

Taxonomies

CodeDescriptionSource flag
175T00000X 175T00000X Primary
101YA0400X 101YA0400X Additional
101YA0400X 101YA0400X Additional
372600000X 372600000X Additional
373H00000X 373H00000X Additional

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s