Individual
ANTOINETTE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4535 WILSON AVE, NEW ORLEANS, LA 70126-4349
(504) 388-2613
Mailing address
4535 WILSON AVE, NEW ORLEANS, LA 70126-4349
(504) 388-2613
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
270415
LA
Other
Enumeration date
06/06/2018
Last updated
01/20/2023
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