Individual
MRS. VIRGINIA WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1468 BRICK CHURCH RD, ONTARIO, NY 14519-9739
(585) 922-1508
Mailing address
1468 BRICK CHURCH RD, ONTARIO, NY 14519-9739
(585) 922-1508
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
403673-1
NY
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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