Individual
DEBRA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23149
(773) 852-9569
Mailing address
3680 AVALON PARK EAST BLVD, SUITE 310, ORLANDO, FL 32828-9372
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
122572017
IL
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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