Individual
CHATAUQUA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 E CRAIG ST, TALLULAH, LA 71282-3718
(404) 599-9494
(318) 574-9926
Mailing address
402 E CRAIG ST, TALLULAH, LA 71282-3718
(404) 599-9494
(318) 574-9926
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1758001925
LA
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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