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Individual
ANGELA MARIE WATSON
Active
Individual
ANGELA MARIE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003338
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19FU0
BCBS OF NC
NC
01
—
Q36656A
MEDICARE PTAN
—
Enumeration date
06/16/2011
Last updated
05/06/2016
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