Individual
OLIVIA RAVEEN WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
346 E ALVARADO RD, PHOENIX, AZ 85004-1405
(602) 888-4405
(706) 310-8389
Mailing address
156 NORA MOSS LN, CARNESVILLE, GA 30521-4011
(602) 888-4405
(706) 310-8389
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
191793
AZ
Other
Enumeration date
04/24/2019
Last updated
03/07/2023
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