Individual
MISS NICOLE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27443 PARKVIEW BLVD APT 6108, WARREN, MI 48092-3636
(313) 478-6438
Mailing address
PO BOX 1057, FARMINGTON, MI 48332-1057
(313) 478-6438
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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