Individual
TAMARA C WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 KELLOGG DR, TAVARES, FL 32778-4942
(352) 508-5344
(352) 508-5577
Mailing address
1304 KELLOGG DR, TAVARES, FL 32778-4942
(352) 508-5344
(352) 508-5577
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
693702101
FL
Other
Enumeration date
07/19/2009
Last updated
07/19/2009
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