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Individual

DEMETRIUS WATKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
STNA

Contact information

Practice address
446 RICHMOND PARK E, A222, RICHMOND HEIGHTS, OH 44143-1813
(440) 565-7596
Mailing address
446 RICHMOND PARK E, A222, RICHMOND HEIGHTS, OH 44143-1813
(440) 565-7596

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
400715510208
OH
376K00000X
Nurse's Aide
Primary
400715510208
OH

Other

Enumeration date
11/07/2013
Last updated
11/07/2013
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