Individual
SARAH WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41621 W 11 MILE RD, NOVI, MI 48375-1804
(248) 299-0030
Mailing address
29255 FRANKLIN HILLS DR, SOUTHFIELD, MI 48034-1150
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703108389
MI
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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