Individual
MR. HORACE JAMES WATKINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8810 PRAIRIE ST, YPSILANTI, MI 48197-1078
(734) 829-7275
Mailing address
8810 PRAIRIE ST, YPSILANTI, MI 48197-1078
(734) 829-7275
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704366756
MI
164W00000X
Licensed Practical Nurse
4703064413
MI
Other
Enumeration date
05/19/2009
Last updated
09/03/2020
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