Individual
DONZETTA MARIE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 PLAIN AVE NE, CANTON, OH 44714-2486
(614) 209-1308
Mailing address
1324 PLAIN AVE NE, CANTON, OH 44714-2486
(614) 209-1308
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN23508
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN231508
—
OH
Enumeration date
12/08/2021
Last updated
12/08/2021
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