Individual
YAKISHA CARAVELLE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
44 PINE KNOLL DR STE K, GREENVILLE, SC 29609-3257
(864) 991-8856
(864) 991-8893
Mailing address
44 PINE KNOLL DR, GREENVILLE, SC 29609-3251
(864) 567-6046
(864) 991-8893
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
44506
SC
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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