Individual
STEPHANIE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11462 WAHRMAN ST, ROMULUS, MI 48174-3860
(734) 833-4543
(734) 833-4543
Mailing address
11462 WAHRMAN ST, ROMULUS, MI 48174-3860
(734) 833-4543
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703104600
MI
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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