Individual
CARLA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3 SWEDEN LN APT 21, BROCKPORT, NY 14420-2544
(585) 857-1914
Mailing address
3 SWEDEN LN APT 21, BROCKPORT, NY 14420-2544
(585) 857-1914
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
346877
NY
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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