Individual
CANDACE SEANTAVIA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S RAINBOW BLVD, LAS VEGAS, NV 89145-5362
(702) 778-8922
Mailing address
101 S RAINBOW BLVD, LAS VEGAS, NV 89145-5362
(702) 778-8922
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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