Individual
MISS LASHANTE DIANNE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
610 ROUTE 168 FL 1, BLACKWOOD, NJ 08012-1485
(856) 239-1211
Mailing address
610 ROUTE 168 FL 1, BLACKWOOD, NJ 08012-1485
(856) 239-1211
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA200025839
NJ
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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