Individual
DR. LAURA ANNE JUSSILA WATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
19924 JETTON RD, CORNELIUS, NC 28031-8250
(704) 896-8446
Mailing address
19924 JETTON RD, CORNELIUS, NC 28031-8250
(704) 896-8446
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3649
SC
111N00000X
Chiropractor
Primary
4207
NC
Other
Enumeration date
06/10/2011
Last updated
08/29/2011
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