Individual
ALEA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4210 PORTER CT, CHARLOTTE, NC 28278
(980) 307-1694
(980) 430-1929
Mailing address
9716 REA RD STE B, CHARLOTTE, NC 28277-6790
(980) 307-1694
(980) 430-1929
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
246RP1900X
Phlebotomy Technician
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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