Individual
CORTINA NORMAN WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMINSTRATOR
Contact information
Practice address
107 BRETT DR, SHELBY, NC 28152-9107
(704) 313-7086
Mailing address
PO BOX 711, SHELBY, NC 28151-0711
(704) 313-7086
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
FLC-023-040
NC
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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