Individual
MRS. TRICIA LEANN WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12753 UNIVERSITY AVE, CLIVE, IA 50325-8246
(515) 226-1786
(515) 226-1174
Mailing address
12753 UNIVERSITY AVE, CLIVE, IA 50325-8246
(515) 226-1786
(515) 226-1174
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18861
IA
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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