Individual
JEREMY SHANE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
440 NEWCOMB ST # A, CHRISTIANSBURG, VA 24073-1326
(540) 732-7248
Mailing address
440 NEWCOMB ST # A, CHRISTIANSBURG, VA 24073-1326
(540) 732-7248
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401172821
VA
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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