Individual
TYREA ANN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16260 S RANCHO SAHUARITA BLVD, SAHUARITA, AZ 85629-0047
(520) 416-7100
Mailing address
1222 WHITEHALL DR, SOUTH BEND, IN 46615-3755
(574) 386-1931
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
196949
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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