Individual
KENDRA LATRICE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.,B.S.
Contact information
Practice address
VA MEDICAL CTR, 50 IRVING STREET N.W., WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
6740 HILL CREEK CV, LITHONIA, GA 30058-7002
(404) 914-8285
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH008596
GA
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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