Individual
TASHANDA WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1229 PARRISH ST, PHILADELPHIA, PA 19123-1814
(267) 345-8581
Mailing address
1229 PARRISH ST, PHILADELPHIA, PA 19123-1814
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/26/2010
Last updated
06/26/2010
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