Individual
JESSANNA DANIELLE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
106 4TH AVENUE NORTH, FERGUS FALLS, MN 56537
(218) 998-3778
(218) 998-3187
Mailing address
210 4TH AVENUE SE, PIPESTONE, MN 56164
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
Q787132427022
MN
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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