Individual
MICHAEL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
604 46TH PL SE, WASHINGTON, DC 20019-7828
(202) 292-8700
Mailing address
8106 GEORGIA AVE, SILVER SPRING, MD 20910-4991
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70035269
—
DC
Enumeration date
07/03/2018
Last updated
07/03/2018
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