Individual
MRS. LUCILLE DIANE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
349 S. MAIN ST, DAYTON, OH 45402
(937) 461-3450
(937) 461-9584
Mailing address
349 S. MAIN ST, DAYTON, OH 45402
(937) 461-3269
(937) 461-9584
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
100666
OH
163WM0705X
Medical-Surgical Registered Nurse
28143056
IN
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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