Individual
MICHAEL WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
2042 WOODDALE DRIVE, 250-3003, WOODBURY, MN 55125
(612) 407-0230
Mailing address
2042 WOODDALE DRIVE, 250-3003, WOODBURY, MN 55125
(612) 407-0230
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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