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Individual

RODNEY H WATKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11150 E 2430S RD, PEMBROKE TOWNSHIP, IL 60958-3712
(708) 237-2445
Mailing address
11150 E 2430S RD, PEMBROKE TWP, IL 60958-3712
(708) 237-2445

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
IL
376K00000X
Nurse's Aide

Other

Enumeration date
12/10/2018
Last updated
12/10/2018
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