Individual
LISA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 LINCOLN STREET, COALTON, WV 26257
(304) 689-1585
Mailing address
PO BOX 101, COALTON, WV 26257-0101
(304) 689-1585
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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