Individual
TRACY LYNN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
208 N 6TH ST, SIERRA VISTA, AZ 85635-1555
(408) 914-8857
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN102387
AZ
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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