Individual
MR. TENNEL WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
144 FAIR ST APT 302, PATERSON, NJ 07501-4209
(646) 241-9060
Mailing address
144 FAIR ST APT 302, PATERSON, NJ 07501-4209
(646) 241-9060
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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