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Individual
REIKO WATANABE
Active
Individual
REIKO WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 694572
CA
363L00000X
Nurse Practitioner
Primary
NP 21175
CA
363LA2200X
Adult Health Nurse Practitioner
A0811043
CA
Other
Enumeration date
01/24/2012
Last updated
06/12/2012
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