Individual
TANYA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38410 CHERRY HILL RD, WESTLAND, MI 48185-3270
(706) 271-0100
Mailing address
PO BOX 2444, DALTON, GA 30722-2444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704284426
MI
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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