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Individual

JOSHUA WATKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CCP

Contact information

Practice address
2205 HILLTOP DR, #9207, REDDING, CA 96002-0511
(530) 225-7579
Mailing address
6128 BRASSIE WAY, REDDING, CA 96003-8004
(530) 262-7311

Taxonomy

Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
049086-1349
CA

Other

Enumeration date
11/17/2011
Last updated
11/17/2011
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