Individual
CLAUDIA WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24645 ADLAI AVE, EASTPOINTE, MI 48021-1201
(586) 212-7409
Mailing address
24645 ADLAI AVE, EASTPOINTE, MI 48021-5706
(586) 212-7409
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113840
MI
Other
Enumeration date
09/22/2014
Last updated
12/10/2014
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